Active NPI
Ehsan Zariffard, DMD
- Pediatric Dentistry
- Jacksonville, FL
National Provider Identifier
1528458932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- DN 20877
- Practice address
- 620 Commerce Center Dr Unit 155
Jacksonville, FL 32225-8803 - Phone
- (904) 483-3022
- NPI assigned
- Jan 23, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | DN 20877 | FL | Primary |
Addresses
Primary practice location
620 Commerce Center Dr Unit 155
Jacksonville, FL 32225-8803
Mailing address
220 Riverside Ave Unit 526
Jacksonville, FL 32202-4959
Phone (630) 802-8652
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 |
|---|---|---|---|
| DN 20877 | FL | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469664000000",
"number": "1528458932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 RIVERSIDE AVE UNIT 526",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024959",
"telephone_number": "630-802-8652"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 COMMERCE CENTER DR UNIT 155",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322258803",
"telephone_number": "904-483-3022"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZARIFFARD",
"first_name": "EHSAN",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-23",
"last_updated": "2016-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0221X",
"taxonomy_group": "",
"desc": "Dentist, Pediatric Dentistry",
"state": "FL",
"license": "DN 20877",
"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 Jul 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.