NPIMap

Organization Active NPI

Nicholas a. Narducci, DMD, PA.

  • Preferred Provider Organization
  • Jacksonville, FL
National Provider Identifier
1194991372
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
DN15716 Issued in FL
Legal business name
NICHOLAS A. NARDUCCI, DMD, PA.
Practice address
9995 Gate Pkwy N
Suite 310
Jacksonville, FL 32246-4481
Phone
(904) 646-2737
NPI assigned
May 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

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

Authorized official

Name
Ms. Crystal Love Less
Title
VP of Operations
Phone
(904) 998-7000

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X DN15716 FL Primary
Point of Service 305S00000X DN15716 FL

Addresses

Primary practice location

9995 Gate Pkwy N
Suite 310
Jacksonville, FL 32246-4481

Mailing address

3545-1 St. Johns Bluff Rd. S.
Suite 352
Jacksonville, FL 32224
Phone (904) 998-7000

Other names 1

  • Town Center Dental Group Doing business as

National Provider Directory

National Provider Directory

Locations

9995 Gate Pkwy N
Ste 310
Jacksonville, FL 32246
Phone (904) 646-2737

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422230400000",
    "number": "1194991372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545-1 ST. JOHNS BLUFF RD. S.",
            "address_2": "SUITE 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32224",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9995 GATE PKWY N",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322464481",
            "telephone_number": "904-646-2737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A. NARDUCCI, DMD, PA.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2015-01-26",
        "status": "A",
        "authorized_official_last_name": "LESS",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "LOVE",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "904-998-7000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "FL",
            "license": "DN15716",
            "primary": true
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "FL",
            "license": "DN15716",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Town Center Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 26, 2015; 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.