Mazen Almashli, BDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DTP753 Issued in FL

Practice address

5491 Dolphin Pointe Boulevard
Jacksonville, FL 32211-3221

Phone

(904) 256-7846

Fax

(904) 256-7798

NPI assigned

Jan 31, 2022

Last updated

Jan 31, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Ju School of Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
  • NPI 1750096467
  NPD

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1265185268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 UNIVERSITY BLVD N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113321",
            "telephone_number": "904-256-7846",
            "fax_number": "904-256-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5491 DOLPHIN POINTE BOULEVARD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322113221",
            "telephone_number": "904-256-7846",
            "fax_number": "904-256-7798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALMASHLI",
        "first_name": "MAZEN",
        "name_prefix": "Dr.",
        "credential": "BDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DTP753",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Mikelait Allstadt, MD
• Allstar Home Care LLC
• Brittany Yonker Allsup, ARNP
• Alluring Choice Home Health LLC
• Ally Health Partners LLC
• Miranda Almeida
• Regis C Almeida, P.T.
• Veronica Almeida, APRN
• Tariq Almerey, MD, FACS
• Stefano Almocera

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, FL
• Providers in Jacksonville, 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 Jan 31, 2022; 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.