NPIMap

Organization Active NPI

John B Draper DMD PA

Doing business as Hicks & Draper Dental

  • Dental Clinic/Center
  • Palatka, FL
National Provider Identifier
1336858174
Registry record updated Nov 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JOHN B DRAPER DMD PA
Doing business as
Hicks & Draper Dental
Practice address
800 Zeagler Dr Ste 330
Palatka, FL 32177-3827
Phone
(386) 325-6000
Fax
(386) 325-9306
NPI assigned
Nov 21, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2022

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

Authorized official

Name
John B Draper, DMDNPI 1457912263
Title
Doctor
Phone
(386) 325-6000

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

800 Zeagler Dr Ste 330
Palatka, FL 32177-3827

Mailing address

800 Zeagler Dr Ste 330
Palatka, FL 32177-3827
Phone (386) 325-6000

Other names 2

  • Hicks & Draper Dental Doing business as
  • Hicks Dental Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL hicksdentalpalatka@gmail.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1336858174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 330",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-325-6000",
            "fax_number": "386-325-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ZEAGLER DR STE 330",
            "city": "PALATKA",
            "state": "FL",
            "postal_code": "321773827",
            "telephone_number": "386-325-6000",
            "fax_number": "386-325-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN B DRAPER DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "386-325-6000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hicksdentalpalatka@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "800 Zeagler Dr Ste 330",
            "city": "Palatka",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321773827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Hicks & Draper Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hicks Dental",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palatka, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.