Individual provider Active NPI

Sebastien Murphy, DDS

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1245611342
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 21281 Issued in FL
Practice address
5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861
Phone
(904) 781-1201
NPI assigned
Jun 15, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN 21281 FL Primary

Addresses

Primary practice location

5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861

Mailing address

5149 Normandy Blvd Unit 4
Jacksonville, FL 32205-4861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150805008834 FL Order and Referring Only - DentistPractitioner - Dentist 8729392691

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 21281FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Dentistry PA General Practice Current Accepting new patients
S2S Dental Care CurrentSince Apr 20, 2021 Accepting new patients

Locations

13474 Atlantic Blvd
Ste 109
Jacksonville, FL 32225
Phone (904) 647-1800

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1245611342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5149 NORMANDY BLVD UNIT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5149 NORMANDY BLVD UNIT 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322054861",
            "telephone_number": "904-781-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURPHY",
        "first_name": "SEBASTIEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 21281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.