Active NPI
Marloin C Cummings, DDS
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1467545087
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN23234
- Practice address
- 9000 Golfside Dr Ste a
Jacksonville, FL 32256-7793 - Phone
- (904) 737-8410
- NPI assigned
- Oct 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN122206 | GA | |
| Pediatric Dentistry | 1223P0221X | DN23234 | FL | Primary |
Addresses
Primary practice location
9000 Golfside Dr Ste a
Jacksonville, FL 32256-7793
Mailing address
9000 Golfside Dr Ste a
Jacksonville, FL 32256-7793
Phone (904) 737-8410
Other practice location 1
132 Southern Blvd
Savannah, GA 31405-7414
Phone (912) 600-1594
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN23234 | FL | MD | Pediatric Dentist |
| DN122206 | GA | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1467545087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9000 GOLFSIDE DR STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567793",
"telephone_number": "904-737-8410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9000 GOLFSIDE DR STE A",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567793",
"telephone_number": "904-737-8410"
}
],
"practiceLocations": [
{
"address_1": "132 Southern Blvd",
"address_purpose": "LOCATION",
"city": "Savannah",
"state": "GA",
"postal_code": "314057414",
"country_code": "US",
"telephone_number": "912-600-1594",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUMMINGS",
"first_name": "MARLOIN",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-02",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "GA",
"license": "DN122206",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN23234",
"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 May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.