NPIMap

Organization Active NPI

Sandpiper Dental PA

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1215455233
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN14682 Issued in FL
Legal business name
SANDPIPER DENTAL PA
Practice address
13947 Beach Blvd Ste 106
Jacksonville, FL 32224-1201
Phone
(904) 223-8001
Fax
(904) 223-8022
NPI assigned
Aug 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Penney Weeks, DMDNPI 1407897630
Title
Dentist/Owner
Phone
(904) 223-8001

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN14682 FL Primary

Addresses

Primary practice location

13947 Beach Blvd Ste 106
Jacksonville, FL 32224-1201

Mailing address

13947 Beach Blvd Ste 106
Jacksonville, FL 32224-1201
Phone (904) 223-8001

National Provider Directory

National Provider Directory

Locations

13947 Beach Blvd
Ste 106
Jacksonville, FL 32224
Phone (904) 223-8001

Practitioners & affiliated clinicians

Practitioners 3

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": "1504051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1215455233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241201",
            "telephone_number": "904-223-8001",
            "fax_number": "904-223-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13947 BEACH BLVD STE 106",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241201",
            "telephone_number": "904-223-8001",
            "fax_number": "904-223-8022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDPIPER DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEEKS",
        "authorized_official_first_name": "PENNEY",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "904-223-8001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 21, 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.