Nidal S Elias DDS PA

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DN0011583 Issued in FL

Legal business name

NIDAL S ELIAS DDS PA

Practice address

9250 Baymeadows Rd
Ste 300
Jacksonville, FL 32256-1883

Phone

(904) 731-2120

Fax

(904) 731-9235

NPI assigned

May 4, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Nidal Salem Elias, D.D.S.,M.S.NPI 1255356598

Title

Prosthodontist

Phone

(904) 731-2120

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nidal S Elias, DDS, MS

  • Prosthodontics
  • Jacksonville, FL
  • NPI 1255356598
  Medicare reassignment NPD Authorized official
• Kathryn Elizabeth Ryan-Peterkin, B.S., D.D.S., M.S.

  • Prosthodontics
  • Jacksonville, FL
  • NPI 1386939387
  NPD (past)

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304467200000",
    "number": "1477845865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD",
            "address_2": "STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561883",
            "telephone_number": "904-731-2120",
            "fax_number": "904-731-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 BAYMEADOWS RD",
            "address_2": "STE 300",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322561883",
            "telephone_number": "904-731-2120",
            "fax_number": "904-731-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIDAL S ELIAS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-04",
        "last_updated": "2011-05-04",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "NIDAL",
        "authorized_official_middle_name": "SALEM",
        "authorized_official_title_or_position": "PROSTHODONTIST",
        "authorized_official_telephone_number": "904-731-2120",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN0011583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Letitia Nicolas
• Janina Soleil Baraquero Nicolay, OTD, OTR/L
• Nicole M Sweet-McIntire LLC
• Ernst Nicolitz, M.D
• Francesca Nicoloso, PA
• Nidra LLC
• Kevin K. Niebaum, D.O.
• Claudia Nieblas Morfa
• Jordyn Paige Niederhiser, M.S., BCBA
• Heather D Nielsen, DO

• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.