Individual provider Active NPI

Elizabeth Rose Alfuente, DMD

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1447487350
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18628 Issued in FL
Practice address
12777 Atlantic Blvd
Suite 26
Jacksonville, FL 32225-7120
Phone
(904) 221-3550
Fax
(904) 221-3227
NPI assigned
Jun 18, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN18628 FL Primary

Addresses

Primary practice location

12777 Atlantic Blvd
Suite 26
Jacksonville, FL 32225-7120

Mailing address

3540 Bay Island Cir
Jacksonville Beach, FL 32250-3954
Phone (352) 219-3038

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18628FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth Alfuente, DMD, PLLC General Practice Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1447487350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 BAY ISLAND CIR",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503954",
            "telephone_number": "352-219-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12777 ATLANTIC BLVD",
            "address_2": "SUITE 26",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322257120",
            "telephone_number": "904-221-3550",
            "fax_number": "904-221-3227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFUENTE",
        "first_name": "ELIZABETH",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18628",
            "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 Oct 23, 2013; 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.