Organization Active NPI

Sharmilla Anand D.M.D P.a.

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1306914759
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN0013665 Issued in FL
Legal business name
SHARMILLA ANAND D.M.D P.A.
Practice address
1420 San Marco Blvd
Jacksonville, FL 32207-8536
Phone
(904) 399-3632
Fax
(904) 399-1674
NPI assigned
Dec 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Dr. Sharmilla Anand, D.M.D.NPI 1144398595
Title
Dentist
Phone
(904) 399-3632

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DN0013665 FL Primary

Addresses

Primary practice location

1420 San Marco Blvd
Jacksonville, FL 32207-8536

Mailing address

1420 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 399-3632

National Provider Directory

National Provider Directory

Locations

1420 San Marco Blvd
Jacksonville, FL 32207
Phone (904) 396-3964

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1306914759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SAN MARCO BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32207",
            "telephone_number": "904-399-3632",
            "fax_number": "904-399-1674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SAN MARCO BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078536",
            "telephone_number": "904-399-3632",
            "fax_number": "904-399-1674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARMILLA ANAND D.M.D P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-02",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "ANAND",
        "authorized_official_first_name": "SHARMILLA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-399-3632",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN0013665",
            "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 Jun 24, 2008; 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.