Active NPI
Sebastien Murphy, DDS
- General Practice Dentistry
- Jacksonville, FL
National Provider Identifier
1245611342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN 21281
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150805008834 | FL | Order and Referring Only - Dentist | 8729392691 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN 21281 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Dentistry PA | General Practice | Current | Accepting new patients |
| S2S Dental Care | Current | 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.
-
- Dental Clinic/Center
- Jacksonville, FL
- NPI 1770163693
-
- General Practice Dentistry
- Jacksonville, FL
- NPI 1043792534
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.