Dena Rachel Mizrahi, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN19747 Issued in FL

Practice address

1584 Kingsley Ave Ste 1
Orange Park, FL 32073-4502

Phone

(904) 264-5437

NPI assigned

Aug 13, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Gerald K. Weaver, D.M.D. and Michael Stratton, D.M.D., Pediatric Denti

  dba Weaver and Stratton Pediatric Dentistry & Orthodontics

  • Pediatric Dentistry
  • Orange Park, FL
  • NPI 1083048011
  NPD (past)
• Smiling Kidds Dentistry, P.a.

  dba River City Pediatric Dentistry

  • Pediatric Dentistry
  • Jacksonville, FL
  • NPI 1255937686
  NPD (past)
• Smiling Kidds Dentistry, P.a.

  dba Seaside Children's Dentistry

  • Pediatric Dentistry
  • St Augustine, FL
  • NPI 1881290211
  NPD (past)

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647907200000",
    "number": "1205269396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HARTLEY RD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578206",
            "telephone_number": "904-395-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 KINGSLEY AVE STE 1",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734502",
            "telephone_number": "904-264-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIZRAHI",
        "first_name": "DENA",
        "middle_name": "RACHEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-13",
        "last_updated": "2022-03-22",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN19747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miracle Ear
• Donte' Kilano Mitchell
• Jacqueline Mitchell
• Tiffany Mitchell
• Mitchells All at Home Quality Care Provider Inc
• MNS Non Emergency Medical Transportation LLC
• Andreea Mocanu, OD
• Modern Periodontics, PA
• Modified Independence Evaluations Inc
• Houyar Moghaddas, M.D.

• Pediatric Dentistry in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2022; 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.