Individual provider Active NPI

Samira Meymand, DDS/MPH

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
National Provider Identifier
1629048160
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
DN18532 Issued in FL
Practice address
11571 San Jose Blvd Unit 1
Jacksonville, FL 32223-7257
Phone
(904) 886-2667
NPI assigned
Jan 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X DN18532 FL Primary

Addresses

Primary practice location

11571 San Jose Blvd Unit 1
Jacksonville, FL 32223-7257

Mailing address

11571 San Jose Blvd Unit 1
Jacksonville, FL 32223-7257
Phone (214) 394-5923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN18532FLMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1629048160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11571 SAN JOSE BLVD UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237257",
            "telephone_number": "214-394-5923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11571 SAN JOSE BLVD UNIT 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322237257",
            "telephone_number": "904-886-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYMAND",
        "first_name": "SAMIRA",
        "name_prefix": "Dr.",
        "credential": "DDS/MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-26",
        "last_updated": "2026-07-13",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN18532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 13, 2026; 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.