Organization Active NPI

Daytona Pediatrics

  • Pediatrics Physician
  • South Daytona, FL
National Provider Identifier
1205399060
Registry record updated Apr 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
DAYTONA PEDIATRICS
Practice address
909 Big Tree Rd
South Daytona, FL 32119-2517
Phone
(386) 676-0255
Fax
(386) 676-2555
NPI assigned
Apr 9, 2019
Last updated
Apr 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2019

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

Authorized official

Name
Dr. Amar N Singh, MD
Title
Owner
Phone
(386) 366-4873

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

909 Big Tree Rd
South Daytona, FL 32119-2517

Mailing address

67 Coquina Ridge Way
Ormond Beach, FL 32174-1812
Phone (386) 366-4873

Other identifiers 1

IdentifierTypeStateIssuer
271799900MedicaidFL

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": "1554768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554768000000",
    "number": "1205399060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 COQUINA RIDGE WAY",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321741812",
            "telephone_number": "386-366-4873",
            "fax_number": "386-676-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 BIG TREE RD",
            "city": "SOUTH DAYTONA",
            "state": "FL",
            "postal_code": "321192517",
            "telephone_number": "386-676-0255",
            "fax_number": "386-676-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAYTONA PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-09",
        "last_updated": "2019-04-09",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "AMAR",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-366-4873",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "271799900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Daytona, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2019; 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.