Five Points Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN14931 Issued in FL

Legal business name

FIVE POINTS DENTAL

Practice address

1529 Margaret St
Jacksonville, FL 32204-3821

Phone

(904) 356-4880

Fax

(904) 356-8623

NPI assigned

Aug 16, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Valerie L Walls

Title

Office Manager

Phone

(904) 356-4880

Specialties & licenses 1

Addresses

Other names 1

• Roessler, Inc. Doing business as

Locations

Practitioners 1

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

• Ronald K Roessler, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1780747659
  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345075200000",
    "number": "1336497726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1529 MARGARET ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043821",
            "telephone_number": "904-356-4880",
            "fax_number": "904-356-8623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1529 MARGARET ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322043821",
            "telephone_number": "904-356-4880",
            "fax_number": "904-356-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVE POINTS DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2012-08-16",
        "status": "A",
        "authorized_official_last_name": "WALLS",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-356-4880",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN14931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roessler, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephen Fitzmeyer, MD
• Fitzone Medical Clinic LLC
• Ivy Zo Li Fitzpatrick, D.O.
• Patrick J Fitzpatrick, RN
• Peter Fitzpatrick, MD
• Five Points Healthcare LTD
• Five Points Healthcare LTD.
• Five Points Medical Clinic
• Five Points Therapeutic Massage
• Five S.T.a.R. Veterans Center, Inc

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2012; 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.