Individual provider Active NPI

Christopher Marc Geric, D.M.D.

  • Endodontics
  • Jacksonville, FL
National Provider Identifier
1285841908
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
DN15658 Issued in FL
Practice address
12078 San Jose Blvd
Suite 3
Jacksonville, FL 32223-8670
Phone
(904) 260-6111
Fax
(904) 260-6331
NPI assigned
May 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DN15658 FL Primary

Addresses

Primary practice location

12078 San Jose Blvd
Suite 3
Jacksonville, FL 32223-8670

Mailing address

8225 Seven Mile Dr
Ponte Vedra Beach, FL 32082-3132
Phone (904) 260-6111

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

LicenseStateTypeSpecialty
DN15658FLMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234310400000",
    "number": "1285841908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8225 SEVEN MILE DR",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320823132",
            "telephone_number": "904-260-6111",
            "fax_number": "904-260-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12078 SAN JOSE BLVD",
            "address_2": "SUITE 3",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238670",
            "telephone_number": "904-260-6111",
            "fax_number": "904-260-6331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERIC",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARC",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2009-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN15658",
            "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 Feb 11, 2009; 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.