Organization Active NPI

Oakleaf Orthodontics, PLLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Jacksonville, FL
National Provider Identifier
1346614211
Registry record updated Nov 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
OAKLEAF ORTHODONTICS, PLLC
Practice address
9640 Crosshill Blvd
Ste 101
Jacksonville, FL 32222-5854
Phone
(904) 404-4445
NPI assigned
Nov 16, 2015
Last updated
Nov 16, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2015

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

Authorized official

Name
Dr. Karen Koehler Zell, D.D.S.
Title
Orthodontist
Phone
(904) 404-4445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X FL Primary

Addresses

Primary practice location

9640 Crosshill Blvd
Ste 101
Jacksonville, FL 32222-5854

Mailing address

9640 Crosshill Blvd
Ste 101
Jacksonville, FL 32222-5854
Phone (904) 404-4445

National Provider Directory

National Provider Directory

Locations

9640 Crosshill Blvd
Ste 101
Jacksonville, FL 32222
Phone (904) 404-4445

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1447632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447632000000",
    "number": "1346614211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9640 CROSSHILL BLVD",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225854",
            "telephone_number": "904-404-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9640 CROSSHILL BLVD",
            "address_2": "STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322225854",
            "telephone_number": "904-404-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKLEAF ORTHODONTICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-16",
        "last_updated": "2015-11-16",
        "status": "A",
        "authorized_official_last_name": "ZELL",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "KOEHLER",
        "authorized_official_title_or_position": "ORTHODONTIST",
        "authorized_official_telephone_number": "904-404-4445",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": null,
            "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 Nov 16, 2015; 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.