Organization Active NPI

Jeffrey S. Prieto, DDS

  • Customized Equipment (DME)
  • Orange Park, FL
National Provider Identifier
1538423413
Registry record updated Jun 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
DN-14358 Issued in FL
Legal business name
JEFFREY S. PRIETO, DDS
Practice address
1950 Miller St
3
Orange Park, FL 32073-4759
Phone
(904) 269-3488
Fax
(904) 278-0931
NPI assigned
Jun 26, 2012
Last updated
Jun 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2012

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

Authorized official

Name
Ovoilette E Holt
Title
Manager
Phone
(904) 269-3488

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X DN-14358 FL Primary

Addresses

Primary practice location

1950 Miller St
3
Orange Park, FL 32073-4759

Mailing address

1950 Miller St
3
Orange Park, FL 32073-4759
Phone (904) 269-3488

National Provider Directory

National Provider Directory

Locations

1950 Miller St
Ste 3
Orange Park, FL 32073
Phone (904) 269-3488

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340668800000",
    "number": "1538423413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 MILLER ST",
            "address_2": "3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734759",
            "telephone_number": "904-269-3488",
            "fax_number": "904-278-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 MILLER ST",
            "address_2": "3",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734759",
            "telephone_number": "904-269-3488",
            "fax_number": "904-278-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. PRIETO, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-26",
        "last_updated": "2012-06-26",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "OVOILETTE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "904-269-3488"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "FL",
            "license": "DN-14358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2012; 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.