Organization Active NPI

Baemax Dental

  • Dental Clinic/Center
  • Middleburg, FL
National Provider Identifier
1598521981
Registry record updated Apr 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
BAEMAX DENTAL
Practice address
2468 Blanding Blvd
Middleburg, FL 32068-5193
Phone
(904) 282-5025
NPI assigned
Feb 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2024

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

Authorized official

Name
Dr. Lindsey Lofton Carballo, DMDNPI 1881957264
Title
Owner
Phone
(904) 945-6221

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

2468 Blanding Blvd
Middleburg, FL 32068-5193

Mailing address

1993 Moorings Cir
Middleburg, FL 32068-6645
Phone (904) 945-6221

National Provider Directory

National Provider Directory

Locations

2468 Blanding Blvd
Middleburg, FL 32068
Phone (904) 282-5025

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712793600000",
    "number": "1598521981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1993 MOORINGS CIR",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320686645",
            "telephone_number": "904-945-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2468 BLANDING BLVD",
            "city": "MIDDLEBURG",
            "state": "FL",
            "postal_code": "320685193",
            "telephone_number": "904-282-5025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAEMAX DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-04-11",
        "certification_date": "2024-04-11",
        "status": "A",
        "authorized_official_last_name": "CARBALLO",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_middle_name": "LOFTON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-945-6221",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middleburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2024; 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.