Active NPI
Bayroad Enterprises Inc Dba
- Prosthetic/Orthotic Supplier
- Orange Park, FL
National Provider Identifier
1164527388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- BAYROAD ENTERPRISES INC DBA
- Practice address
- 617 Blanding Blvd
Orange Park, FL 32073-5058 - Phone
- (904) 213-4430
- Fax
- (904) 276-7823
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Henry Moffett Tonkin III, CP, LP
- Title
- Owner
- Phone
- (904) 213-4430
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
617 Blanding Blvd
Orange Park, FL 32073-5058
Mailing address
PO Box 1657
Orange Park, FL 32067-1657
Phone (904) 213-4430
National Provider Directory
National Provider DirectoryLocations
617 Blanding Blvd
Orange Park, FL 32073
Phone (904) 213-4430
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164527388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1657",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320671657",
"telephone_number": "904-213-4430",
"fax_number": "904-276-7823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "617 BLANDING BLVD",
"city": "ORANGE PARK",
"state": "FL",
"postal_code": "320735058",
"telephone_number": "904-213-4430",
"fax_number": "904-276-7823"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BAYROAD ENTERPRISES INC DBA",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "TONKIN",
"authorized_official_first_name": "HENRY",
"authorized_official_middle_name": "MOFFETT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "904-213-4430",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "CP, LP"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.