Edwin F Johary, DDS.,P.A

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15990 Issued in FL

Practice address

1831 NW 13TH St
Suite 4
Gainesville, FL 32609-5416

Phone

(352) 377-0360

NPI assigned

Feb 7, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609916899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 NW 13TH ST",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095416",
            "telephone_number": "352-377-0360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 NW 13TH ST",
            "address_2": "SUITE 4",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326095416",
            "telephone_number": "352-377-0360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHARY",
        "first_name": "EDWIN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "DDS.,P.A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jocelyn a. Lee, PHD
• Tricht Jocelyn
• Jocelynn Corp. D/B/a Comfort Keepers
• Rebecca Jockers
• Richard Anthony Johansen
• John a Dryfuss Jr MD PA
• John French LMT, Inc.
• John S Poser MD PA
• John W Tyrone MD PLLC
• Curtis John

• General Practice Dentistry in Gainesville, FL
• Providers in Gainesville, 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 Jul 8, 2007; 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.