Dr. John D Verville, DDS, PA

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

DN12569 Issued in FL

Legal business name

DR. JOHN D VERVILLE, DDS, PA

Practice address

7055 Highway 17
Fleming Island, FL 32003-9317

Phone

(904) 284-9911

Fax

(904) 284-9915

NPI assigned

Aug 26, 2015

Organization subpart

No

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

Authorized official

Name

Dr. John Dennis Verville

Title

President

Phone

(904) 284-9911

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Victoria Mary Verville, D.M.D

  • Dentist
  • Fleming Island, FL
  • NPI 1033045349
  NPD (past)

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

{
    "created_epoch": "1440547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1295102259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7055 HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320039317",
            "telephone_number": "904-284-9911",
            "fax_number": "904-284-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7055 HIGHWAY 17",
            "city": "FLEMING ISLAND",
            "state": "FL",
            "postal_code": "320039317",
            "telephone_number": "904-284-9911",
            "fax_number": "904-284-9915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JOHN D VERVILLE, DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-26",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "VERVILLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "DENNIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-284-9911",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "FL",
            "license": "DN12569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doctors Lake Sleep and Wellness, LLC
• Michelle Lynea Dodge, MA CCC-SLP
• Douglas K Scales, D.M.D., P.a.
• Stetson W Dow, DPT
• James Downey, MD
• Matthew James Drake
• Laura Arrison Dunton, ARNP
• Michael Edward Dutton
• Jessica Dyer, PT
• East West Anesthesia LLC

• Health Maintenance Organization in Fleming Island, FL
• Providers in Fleming Island, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.