Individual provider Active NPI

Noah Andone, DDS

  • Pediatric Dentistry
  • Orange Park, FL
National Provider Identifier
1437615721
Registry record updated Oct 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN24577 Issued in FL
Practice address
1584 Kingsley Ave Ste B
Orange Park, FL 32073-4515
Phone
(904) 264-5437
NPI assigned
Feb 12, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN24577 FL Primary

Addresses

Primary practice location

1584 Kingsley Ave Ste B
Orange Park, FL 32073-4515

Mailing address

1584 Kingsley Ave Ste B
Orange Park, FL 32073-4515
Phone (904) 264-5437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190821002194 NY Order and Referring Only - DentistPractitioner - Dentist 3173851730

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN24577FLMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Gerald K. Weaver, D.M.D. and Michael Stratton, D.M.D., Pediatric Denti Pediatric Dentistry CurrentSince Sep 21, 2025 Accepting new patients

Locations

1584 Kingsley Ave
Ste B
Orange Park, FL 32073
Phone (904) 264-5437

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1549929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1437615721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1584 KINGSLEY AVE STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734515",
            "telephone_number": "904-264-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1584 KINGSLEY AVE STE B",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734515",
            "telephone_number": "904-264-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDONE",
        "first_name": "NOAH",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-12",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN24577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

Verify at the official NPI Registry.