Dental Sleep Medicine of Jacksonville

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTAL SLEEP MEDICINE OF JACKSONVILLE

Practice address

12276 San Jose Blvd Ste 720
Jacksonville, FL 32223-8674

Phone

(904) 600-3941

NPI assigned

Sep 10, 2021

Last updated

Oct 15, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan M Krantz, DDSNPI 1780618058

Title

Owner/Dentist

Phone

(904) 600-3941

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

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.

• Alan Michael Krantz, D.D.S.

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1780618058
  NPD (past) Authorized official

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634256000000",
    "number": "1417626524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 720",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-600-3941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 720",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238674",
            "telephone_number": "904-600-3941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL SLEEP MEDICINE OF JACKSONVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-10-15",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "KRANTZ",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-600-3941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Dent, CAREGIVER
• Dental Arts of Florida PA
• Dental Center Deerwood
• Dental Place of Jax
• Dental RX Inc.
• Dentistry Onsite, LLC
• Dentists of Southside, PA
• Dentists on Monument PA (Dentists on Monument)
• Jessica Ashley Denton, PA-C
• Kimberly Sue Denton, FNP

• 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 Oct 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.