NPIMap

Organization Active NPI

Avenues Dental LLC

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1225488232
Registry record updated Jun 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 19907 Issued in FL
Legal business name
AVENUES DENTAL LLC
Practice address
6144 Gazebo Park Place South
Ste 210
Jacksonville, FL 32257
Phone
(904) 262-9466
NPI assigned
Jun 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2016

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

Authorized official

Name
Dr. Jignesh Patel, DMDNPI 1093061400
Title
Manager
Phone
(954) 551-4624

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
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X DN 19907 FL Primary

Addresses

Primary practice location

6144 Gazebo Park Place South
Ste 210
Jacksonville, FL 32257

Mailing address

3068 Brettungar Drive
Jacksonville, FL 32246
Phone (954) 551-4624

Other names 1

  • Dental Center of Jacksonville Doing business as

National Provider Directory

National Provider Directory

Locations

6144 Gazebo Park Pl S
Ste 210
Jacksonville, FL 32257
Phone (904) 262-9466

Practitioners & affiliated clinicians

Practitioners 2

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": "1466467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1225488232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3068 BRETTUNGAR DRIVE",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32246",
            "telephone_number": "954-551-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PLACE SOUTH",
            "address_2": "STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-262-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVENUES DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-21",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JIGNESH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "954-551-4624",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 19907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Center of Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 21, 2016; 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.