Gregory John Sabino, DDS, PH. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22402 Issued in FL

Practice address

651 Nautica Dr Unit 1
Jacksonville, FL 32218-7222

Phone

(904) 423-4014

NPI assigned

May 23, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Jacksonville Florida North, PLLC

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1982414066
  NPD (past)

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512432000000",
    "number": "1598112229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 RUSSELL AVE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144811",
            "telephone_number": "847-924-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 NAUTICA DR UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322187222",
            "telephone_number": "904-423-4014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABINO",
        "first_name": "GREGORY",
        "middle_name": "JOHN",
        "credential": "DDS, PH. D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2017-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• S2S Dental Care
• Sa-PG-Jacksonville LLC
• Antonio Miguel Saavedra, DO
• Nelina Hearne Sabella, RPH
• Jessica Marie Sabin, PA
• Camilla Sablan
• Michel Joseph Sabra, M.D.
• Sabrinas Love and Care
• David S Sabsevitz, PHD
• Mar Kevin Cadiente Sacayanan, PHARM.D

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.