Florida Family Dentistry P.a.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FLORIDA FAMILY DENTISTRY P.A.

Practice address

4 Old Kings Rd N
Suite a
Palm Coast, FL 32137-8226

Phone

(386) 447-1234

Fax

(386) 447-0005

NPI assigned

Oct 23, 2006

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gregory A. Johnston, D.D.S.NPI 1225111032

Title

President

Phone

(386) 447-1234

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Gregory Ackert Johnston, D.D.S.

  • General Practice Dentistry
  • Palm Coast, FL
  • NPI 1225111032
  NPD (past) Authorized official
• Travis E Ray, D.M.D.

  • General Practice Dentistry
  • Palm Coast, FL
  • NPI 1588833289
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1609959428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 OLD KINGS RD N",
            "address_2": "SUITE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378226",
            "telephone_number": "386-447-1234",
            "fax_number": "386-447-0005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 OLD KINGS RD N",
            "address_2": "SUITE A",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321378226",
            "telephone_number": "386-447-1234",
            "fax_number": "386-447-0005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA FAMILY DENTISTRY P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "JOHNSTON",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "386-447-1234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Florida Health Care Plan Inc (Florida Health Care Plans Pharmacy)
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• Florida Healthcare Pharmacy
• Florida Heart & Vascular Care, PLLC
• Florida Hospital Flagler

• General Practice Dentistry in Palm Coast, FL
• Providers in Palm Coast, 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 Feb 27, 2008; 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.