John Brandon Draper, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24310 Issued in FL

Practice address

5218 Jammes Rd Ste D
Jacksonville, FL 32210-7740

Phone

(904) 778-0990

NPI assigned

Jun 23, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• John B Draper DMD PA

  • Dental Clinic/Center
  • Palatka, FL
  • NPI 1336858174
  NPD Authorized official

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

{
    "created_epoch": "1561248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561248000000",
    "number": "1457912263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 SHIPWRECK DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322241119",
            "telephone_number": "904-219-0035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5218 JAMMES RD STE D",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322107740",
            "telephone_number": "904-778-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "JOHN",
        "middle_name": "BRANDON",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-23",
        "last_updated": "2019-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas C Drake I, PA-C
• Alexa Dramis
• Draney Rehabilitation Services
• Allison Dransfield, DPT
• Draper & McKinney Dental Group, PLC
• Joseph Anthony Draude, DDS
• Janine Rose Dray-Daris, MSH, RDN, LD/N
• Bonita Drayton
• Dream Care Solutions LLC
• Dream Catcher'S Home Care LLC

• 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 Jun 23, 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.