Organization Active NPI

Asap Dental Care LLC

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1174876809
Registry record updated Oct 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ASAP DENTAL CARE LLC
Practice address
7451-18 103Rd Street
Jacksonville, FL 32210-7451
Phone
(904) 777-4622
Fax
(904) 777-4685
NPI assigned
Oct 18, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Tim Tursonov
Title
Owen
Phone
(904) 777-4622

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

7451-18 103Rd Street
Jacksonville, FL 32210-7451

Mailing address

7451-18 103Rd Street
Jacksonville, FL 32210
Phone (904) 777-4622

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1350518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350518400000",
    "number": "1174876809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7451-18 103RD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32210",
            "telephone_number": "904-777-4622",
            "fax_number": "904-777-4685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7451-18 103RD STREET",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107451",
            "telephone_number": "904-777-4622",
            "fax_number": "904-777-4685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASAP DENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-18",
        "last_updated": "2012-10-18",
        "status": "A",
        "authorized_official_last_name": "TURSONOV",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "OWEN",
        "authorized_official_telephone_number": "904-777-4622"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.