Organization Active NPI

Edwards & Cavendish P.a.

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1366767121
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
EDWARDS & CAVENDISH P.A.
Practice address
137 W Adams St
Jacksonville, FL 32202-3801
Phone
(904) 353-3303
Fax
(904) 353-3634
NPI assigned
Apr 5, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Authorized official

Name
Mrs. Terri Kennison
Title
Administrative Assistant
Phone
(904) 353-3303

Specialties & licenses 1

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

Addresses

Primary practice location

137 W Adams St
Jacksonville, FL 32202-3801

Mailing address

137 W Adams St
Jacksonville, FL 32202-3801
Phone (904) 353-3303

National Provider Directory

National Provider Directory

Locations

137 W Adams St
Jacksonville, FL 32202
Phone (904) 353-3303

Practitioners & affiliated clinicians

Practitioners 2

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": "1270425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270425600000",
    "number": "1366767121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 W ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023801",
            "telephone_number": "904-353-3303",
            "fax_number": "904-353-3634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 W ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322023801",
            "telephone_number": "904-353-3303",
            "fax_number": "904-353-3634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARDS & CAVENDISH P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-05",
        "last_updated": "2010-04-05",
        "status": "A",
        "authorized_official_last_name": "KENNISON",
        "authorized_official_first_name": "TERRI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "904-353-3303",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "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 Apr 5, 2010; 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.