Active NPI
Marinela M. Nemetz, D.D.S.
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1205048857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN15458
- Practice address
- 12421 San Jose Blvd
Suite #320
Jacksonville, FL 32223-2680 - Phone
- (904) 292-2210
- Fax
- (904) 292-2205
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN15458 | FL | Primary |
Addresses
Primary practice location
12421 San Jose Blvd
Suite #320
Jacksonville, FL 32223-2680
Mailing address
12421 San Jose Blvd
Suite #320
Jacksonville, FL 32223-2680
Phone (904) 292-2210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15458 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205048857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12421 SAN JOSE BLVD",
"address_2": "SUITE #320",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232680",
"telephone_number": "904-292-2210",
"fax_number": "904-292-2205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12421 SAN JOSE BLVD",
"address_2": "SUITE #320",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322232680",
"telephone_number": "904-292-2210",
"fax_number": "904-292-2205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMETZ",
"first_name": "MARINELA",
"middle_name": "M.",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN15458",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
- Valarie Nelson, MA
- Wendell Nelson
- Winifred Nelson, FNP-C
- Justin Nemelka
- Nemetz Dental Associates
- Robert Joseph Nemetz, DDS
- Meskerem Nemomsa, MD
- Nemours Children'S Health, Jacksonville South, Specialty Care
- Nemours Children'S Health, Jacksonville, Specialty Care
- Nephrology Consultants of Jacksonville LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.