Nidal S Elias, DDS, MS

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

11583 Issued in FL

Practice address

9250 Baymeadows Rd
Suite #300
Jacksonville, FL 32256-1883

Phone

(904) 731-2120

Fax

(904) 731-9235

NPI assigned

Jul 13, 2006

Last updated

Aug 11, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Oral Surgery

Education

Marquette University School of Dentistry, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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

• Nidal S Elias DDS PA

  • Dental Clinic/Center
  • Jacksonville, FL
  • NPI 1477845865
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1281484800000",
    "number": "1255356598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD",
            "address_2": "SUITE #300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561883",
            "telephone_number": "904-731-2120",
            "fax_number": "904-731-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD",
            "address_2": "SUITE #300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561883",
            "telephone_number": "904-731-2120",
            "fax_number": "904-731-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIAS",
        "first_name": "NIDAL",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2010-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "11583",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "11583",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX I. D. NUMBER",
            "identifier": "59-3051738",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karla Elgin, LMFT
• Nadine A Elhage, DO
• Judith Anne Elia, M.S.
• Beatrice I Elias
• Bradley J Elias, MD
• Eric Alan Eliason, CCC-A
• Torri Elie
• Ronald Elinoff, DDS
• Laith Elissa
• Elite Barr Transportation LLC

• Prosthodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Prosthodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2010; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.