NPIMap

Organization Active NPI

Kanehl Dental Group, P.a.

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1225254220
Registry record updated Jul 27, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6854 Issued in FL
Legal business name
KANEHL DENTAL GROUP, P.A.
Practice address
7933 Baymeadows Way
Suite 5
Jacksonville, FL 32256-7564
Phone
(904) 731-2162
Fax
(904) 448-1403
NPI assigned
Apr 18, 2007
Organization subpart
Yes
Parent organization
YESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2011

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

Authorized official

Name
Dr. Bruce Arthur Kanehl, DMDNPI 1649401423
Title
Owner
Phone
(904) 731-2162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 6854 FL Primary

Addresses

Primary practice location

7933 Baymeadows Way
Suite 5
Jacksonville, FL 32256-7564

Mailing address

7933 Baymeadows Way
Suite 5
Jacksonville, FL 32256-7564
Phone (904) 731-2162

National Provider Directory

National Provider Directory
Part of
Kanehl Dental Group PA

Locations

7933 Baymeadows Way
Ste 5
Jacksonville, FL 32256
Phone (904) 731-2162

Practitioners & affiliated clinicians

Practitioners 2

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": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311724800000",
    "number": "1225254220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7933 BAYMEADOWS WAY",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567564",
            "telephone_number": "904-731-2162",
            "fax_number": "904-448-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7933 BAYMEADOWS WAY",
            "address_2": "SUITE 5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322567564",
            "telephone_number": "904-731-2162",
            "fax_number": "904-448-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KANEHL DENTAL GROUP, P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "YES",
        "enumeration_date": "2007-04-18",
        "last_updated": "2011-07-27",
        "status": "A",
        "authorized_official_last_name": "KANEHL",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-731-2162",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "6854",
            "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 27, 2011; 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.