John Lazzara, DDS, PA

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN 18064 Issued in FL

Legal business name

JOHN LAZZARA, DDS, PA

Practice address

4184 3Rd St S
Jacksonville Beach, FL 32250-5833

Phone

(904) 270-8750

Fax

(904) 270-8755

NPI assigned

Oct 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John Lazzara, DDSNPI 1417008558

Title

President

Phone

(904) 806-2238

Specialties & licenses 1

Addresses

Other names 1

• Lazzara Orthodontics Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Gasper Lazzara, D.D.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville Beach, FL
  • NPI 1417008558
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193011200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193011200000",
    "number": "1245429604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4184 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505833",
            "telephone_number": "904-270-8750",
            "fax_number": "904-270-8755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4184 3RD ST S",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322505833",
            "telephone_number": "904-270-8750",
            "fax_number": "904-270-8755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LAZZARA, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-22",
        "last_updated": "2007-10-22",
        "status": "A",
        "authorized_official_last_name": "LAZZARA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-806-2238",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 18064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lazzara Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Diane Lynn Johhson, D.C.
• John a Morris DC PA
• John Goetze Physical Therapy Inc
• John Goetze Physical Therapy, Inc
• John Landis DDS, PA
• John Richard Crossfield, LMHC, Mac, PA
• John Woeste Jr MD & Assoc PA
• Taylor Alise Johnson-Price, MA., CCC-SLP
• Amber Lynn Johnson, M.D.
• David M Johnson, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.