Active NPI
John Frierson Howard Jr., D.D.S.
- General Practice Dentistry
- Jacksonville, FL
National Provider Identifier
1265743215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN19063
- Practice address
- 1925 Hendricks Ave
Jacksonville, FL 32207-3305 - Phone
- (904) 398-1247
- Fax
- (904) 398-8647
- NPI assigned
- Jun 24, 2010
- 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 | DN19063 | FL | Primary |
Addresses
Primary practice location
1925 Hendricks Ave
Jacksonville, FL 32207-3305
Mailing address
1925 Hendricks Ave
Jacksonville, FL 32207-3305
Phone (904) 398-1247
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN19063 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Marco Dentistry | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Jacksonville, FL
- NPI 1215370788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277337600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1373500800000",
"number": "1265743215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 HENDRICKS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073305",
"telephone_number": "904-398-1247",
"fax_number": "904-398-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1925 HENDRICKS AVE",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322073305",
"telephone_number": "904-398-1247",
"fax_number": "904-398-8647"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "JOHN",
"middle_name": "FRIERSON",
"name_suffix": "Jr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-24",
"last_updated": "2013-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN19063",
"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 Jul 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.