NPIMap

Organization Active NPI

Barry P Setzer DDS and Stephen D Cochran DMD PA

  • Pediatric Dentistry
  • Jacksonville, FL
National Provider Identifier
1558467498
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN6138 Issued in FL
Legal business name
BARRY P SETZER DDS AND STEPHEN D COCHRAN DMD PA
Practice address
8355 Bayberry Road
Jacksonville, FL 32256
Phone
(904) 733-7254
Fax
(904) 731-0144
NPI assigned
Sep 16, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Barry P Setzer, DDSNPI 1871755512
Title
Owner Co
Phone
(904) 733-7254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN12667 FL
Pediatric Dentistry 1223P0221X DN13682 FL
Pediatric Dentistry 1223P0221X DN6138 FL Primary

Addresses

Primary practice location

8355 Bayberry Road
Jacksonville, FL 32256

Mailing address

8355 Bayberry Road
Jacksonville, FL 32256
Phone (904) 733-7254

Other identifiers 3

IdentifierTypeStateIssuer
00419295AMedicaidGA
0763373OtherFLMEDICAID
74810OtherFLBCBS

Other names 1

  • Pediatric Dentistry Other name

National Provider Directory

National Provider Directory

Locations

8355 Bayberry Rd
Jacksonville, FL 32256
Phone (904) 733-7254

Practitioners & affiliated clinicians

Practitioners 4

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": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1558467498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8355 BAYBERRY ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-733-7254",
            "fax_number": "904-731-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 BAYBERRY ROAD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32256",
            "telephone_number": "904-733-7254",
            "fax_number": "904-731-0144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARRY P SETZER DDS AND STEPHEN D COCHRAN DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SETZER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER CO",
        "authorized_official_telephone_number": "904-733-7254",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN12667",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN13682",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN6138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00419295A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID",
            "identifier": "0763373",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74810",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Dentistry",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 22, 2020; 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.