Active NPI
Austin Grovenstein, DMD
- General Practice Dentistry
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN28055
- Practice address
- 9119 Merrill Rd Ste 29
Jacksonville, FL 32225-4306 - Phone
- (904) 549-9777
- NPI assigned
- Aug 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN28055 | FL | Primary |
Addresses
Primary practice location
9119 Merrill Rd Ste 29
Jacksonville, FL 32225-4306
Mailing address
4530 St Johns Ave Ste 15
#225
Jacksonville, FL 32210-1852
Phone (904) 549-9777
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN28055 | FL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mill Cove Family Dentistry, LLC | Current | Accepting new patients | |
| Heart of Florida Health Center, Inc | General Practice | Current | Accepting new patients |
| Heart of Florida Health Center, Inc | General Practice | Current | Accepting new patients |
Locations
9119 Merrill Rd
Ste 29
Jacksonville, FL 32225
Phone (904) 549-9777
4530 Saint Johns Ave
Ste 15
Jacksonville, FL 32210
6041 SW 54th St
Ste 100
Ocala, FL 34474
Phone (352) 854-0700
2553 E Silver Springs Blvd
Ocala, FL 34470
Phone (352) 867-0303
1025 SW 1st Ave
Ocala, FL 34471
Phone (352) 877-7140
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1710923727
General Practice
-
dba Mill Cove Family Dentistry
- Dental Clinic/Center
- Jacksonville, FL
- NPI 1497548259
-
- Federally Qualified Health Center (FQHC)
- Ocala, FL
- NPI 1982248134
General Practice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748131200000",
"number": "1649953837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4530 ST JOHNS AVE STE 15",
"address_2": "#225",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322101852",
"telephone_number": "904-549-9777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9119 MERRILL RD STE 29",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322254306",
"telephone_number": "904-549-9777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GROVENSTEIN",
"first_name": "AUSTIN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-14",
"last_updated": "2025-05-25",
"certification_date": "2025-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN28055",
"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 May 25, 2025; 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.