Active NPI
Nouman Mujahid, DMD
- Dentist
- Jacksonville, FL
National Provider Identifier
1467982736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN22715
- Practice address
- 8708 Perimeter Park Blvd Ste 1
Jacksonville, FL 32216-1107 - Phone
- (904) 400-3063
- NPI assigned
- Jun 19, 2017
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN22715 | FL | Primary |
Addresses
Primary practice location
8708 Perimeter Park Blvd Ste 1
Jacksonville, FL 32216-1107
Mailing address
8708 Perimeter Park Blvd Ste 1
Jacksonville, FL 32216-1107
Phone (904) 400-3063
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 |
|---|---|---|---|
| DN22715 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1497830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1555977600000",
"number": "1467982736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8708 PERIMETER PARK BLVD STE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161107",
"telephone_number": "904-400-3063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8708 PERIMETER PARK BLVD STE 1",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322161107",
"telephone_number": "904-400-3063"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUJAHID",
"first_name": "NOUMAN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-19",
"last_updated": "2019-04-23",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN22715",
"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 Apr 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.