Jonesville Family Dentistry PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

JONESVILLE FAMILY DENTISTRY PA

Practice address

175 NW 138TH Terrace
Suite 200
Jonesville, FL 32669

Phone

(352) 332-3080

Fax

(352) 333-3729

NPI assigned

Dec 5, 2019

Organization subpart

No

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

Authorized official

Name

Vivek Nerikar, DMD

Title

DMD-Dentist Owner

Phone

(904) 553-4859

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1427695741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 NW 138TH TERRACE",
            "address_2": "SUITE 200",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-332-3080",
            "fax_number": "352-333-3729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 NW 138TH TERRACE",
            "address_2": "SUITE 200",
            "city": "JONESVILLE",
            "state": "FL",
            "postal_code": "32669",
            "telephone_number": "352-332-3080",
            "fax_number": "352-333-3729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONESVILLE FAMILY DENTISTRY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "NERIKAR",
        "authorized_official_first_name": "VIVEK",
        "authorized_official_title_or_position": "DMD-DENTIST OWNER",
        "authorized_official_telephone_number": "904-553-4859",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.