Organization Active NPI

Draper & McKinney Dental Group, PLC

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1346362936
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11061 Issued in FL
Legal business name
DRAPER & MCKINNEY DENTAL GROUP, PLC
Practice address
7410 Merrill Rd
Jacksonville, FL 32277-6546
Phone
(904) 745-5115
Fax
(904) 745-5122
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Stephen W Draper, DMD
Title
President
Phone
(904) 745-5115

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 11061 FL Primary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X 15445 FL

Addresses

Primary practice location

7410 Merrill Rd
Jacksonville, FL 32277-6546

Mailing address

7410 Merrill Rd
Jacksonville, FL 32277-6546
Phone (904) 745-5115

National Provider Directory

National Provider Directory

Locations

7410 Merrill Rd
Jacksonville, FL 32277
Phone (904) 745-5115

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": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346362936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7410 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776546",
            "telephone_number": "904-745-5115",
            "fax_number": "904-745-5122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7410 MERRILL RD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322776546",
            "telephone_number": "904-745-5115",
            "fax_number": "904-745-5122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRAPER & MCKINNEY DENTAL GROUP, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DRAPER",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-745-5115",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "11061",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "15445",
            "primary": false
        }
    ],
    "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 Aug 22, 2020; 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.