Oceanside Endodontics OD St. Augustine

Primary specialty

EndodonticsTaxonomy code 1223E0200X

Legal business name

OCEANSIDE ENDODONTICS OD ST. AUGUSTINE

Practice address

2510 U.S. 1 South
Suite B
St. Augustine, FL 32086

Phone

(904) 217-7012

Fax

(904) 217-7924

NPI assigned

Mar 22, 2018

Organization subpart

No

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

Authorized official

Name

Emily Weldon Tyler, DMDNPI 1770817389

Title

Owner

Phone

(904) 217-7012

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Emily Weldon Tyler, D.M.D.

  • Dentist
  • St Augustine, FL
  • NPI 1770817389
  NPD (past) Authorized official

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

{
    "created_epoch": "1521676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521676800000",
    "number": "1548764707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 U.S. 1 SOUTH",
            "address_2": "SUITE B",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-217-7012",
            "fax_number": "904-217-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 U.S. 1 SOUTH",
            "address_2": "SUITE B",
            "city": "ST. AUGUSTINE",
            "state": "FL",
            "postal_code": "32086",
            "telephone_number": "904-217-7012",
            "fax_number": "904-217-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEANSIDE ENDODONTICS OD ST. AUGUSTINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-22",
        "last_updated": "2018-03-22",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "EMILY",
        "authorized_official_middle_name": "WELDON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-217-7012",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel O'Steen
• Oasis Medical Providers, LLC
• OB Hospitalist Group LLC
• OBGYN Associates of St Augustine PA
• Cassandra Lorenz Oborne, LMHC
• Oceanvibes, Inc.
• Patricia Oconnell, PHYSICAL THERAPIST
• Odalys Brito MD & Associates PA
• McKinley Odom, DPT
• Robert A Oesterle, MD

• Endodontics in St. Augustine, FL
• Providers in St. Augustine, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2018; 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.