Organization Active NPI

Rodeffer, Garner, Minor and Mokris Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1184047888
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN9611 Issued in FL
Legal business name
RODEFFER, GARNER, MINOR AND MOKRIS ORTHODONTICS
Practice address
2363 Dunn Avenue
Jacksonville, FL 32218
Phone
(904) 751-6030
NPI assigned
Jan 31, 2014
Last updated
Apr 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Authorized official

Name
Dr. David Tod Garner, DDSNPI 1902805997
Title
President
Phone
(904) 751-6030

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN9611 FL Primary

Addresses

Primary practice location

2363 Dunn Avenue
Jacksonville, FL 32218

Mailing address

2363 Dunn Avenue
Jacksonville, FL 32218
Phone (904) 751-6030

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1391126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1184047888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2363 DUNN AVENUE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-751-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2363 DUNN AVENUE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32218",
            "telephone_number": "904-751-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RODEFFER, GARNER, MINOR AND MOKRIS ORTHODONTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-31",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "GARNER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "TOD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-751-6030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN9611",
            "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 Apr 26, 2018; 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.