Organization Active NPI

Sears & Sears, D.D.S., P.a.

  • General Practice Dentistry
  • Ponte Vedra Beach, FL
National Provider Identifier
1215078993
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 3421 Issued in FL
Legal business name
SEARS & SEARS, D.D.S., P.A.
Practice address
35 Executive Way
Suite 100
Ponte Vedra Beach, FL 32082-1000
Phone
(904) 285-3128
Fax
(904) 285-3128
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Don T. Sears, D.D.S.
Title
Pres.
Phone
(904) 285-3128

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN 3421 FL Primary

Addresses

Primary practice location

35 Executive Way
Suite 100
Ponte Vedra Beach, FL 32082-1000

Mailing address

35 Executive Way
Suite 100
Ponte Vedra Beach, FL 32082-1000
Phone (904) 285-3128

National Provider Directory

National Provider Directory

Locations

35 Executive Way
Ste 100
Ponte Vedra Beach, FL 32082
Phone (904) 285-3128

Practitioners & affiliated clinicians

Practitioners 1

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215078993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 EXECUTIVE WAY",
            "address_2": "SUITE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821000",
            "telephone_number": "904-285-3128",
            "fax_number": "904-285-3128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 EXECUTIVE WAY",
            "address_2": "SUITE 100",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821000",
            "telephone_number": "904-285-3128",
            "fax_number": "904-285-3128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEARS & SEARS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SEARS",
        "authorized_official_first_name": "DON",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "PRES.",
        "authorized_official_telephone_number": "904-285-3128",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 3421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.