Active NPI
Christopher Marc Geric, D.M.D.
- Endodontics
- Jacksonville, FL
National Provider Identifier
1285841908
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN15658
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN15658 | FL | MD | Endodontist |
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.