Active NPI
Carla M Field, DDS
- General Practice Dentistry
- Ponte Vedra Beach, FL
National Provider Identifier
1306936869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN14439
- Practice address
- 228 Ponte Vedra Park Dr
Suite 100
Ponte Vedra Beach, FL 32082-6613 - Phone
- (904) 285-1990
- Fax
- (904) 285-6113
- NPI assigned
- Oct 13, 2006
- Sex
- Female
- 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 | DN14439 | FL | Primary |
Addresses
Primary practice location
228 Ponte Vedra Park Dr
Suite 100
Ponte Vedra Beach, FL 32082-6613
Mailing address
228 Ponte Vedra Park Dr
Suite 100
Ponte Vedra Beach, FL 32082-6613
Phone (904) 285-1990
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 |
|---|---|---|---|
| DN14439 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306886400000",
"number": "1306936869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "228 PONTE VEDRA PARK DR",
"address_2": "SUITE 100",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826613",
"telephone_number": "904-285-1990",
"fax_number": "904-285-6113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "228 PONTE VEDRA PARK DR",
"address_2": "SUITE 100",
"city": "PONTE VEDRA BEACH",
"state": "FL",
"postal_code": "320826613",
"telephone_number": "904-285-1990",
"fax_number": "904-285-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIELD",
"first_name": "CARLA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-13",
"last_updated": "2011-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN14439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ponte Vedra Beach, FL
- Laurie S. Fairall-Rueter, PSY.D.
- Allison Ann Falden, O.D.
- Family Smiles Ponte Vedra
- Larry Feldman, PT
- Courtney Fickling, MHS, OTR/L
- First Coast Brain Builders, LLC
- First Coast Counseling and Support Services
- First Coast Evaluation Center, LLC
- First Coast Vein, LLC (Ponte Vedra Vein)
- Five Star Physical Therapy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.