Active NPI
Amiable Dental Care LLC
- Dental Clinic/Center
- Jacksonville, FL
National Provider Identifier
1659074060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- AMIABLE DENTAL CARE LLC
- Practice address
- 5101 Gate Pkwy Ste 4
Jacksonville, FL 32256-7276 - Phone
- (904) 998-7707
- NPI assigned
- Mar 24, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Padma Rageer, DDS
- Title
- Presisdent
- Phone
- (904) 217-9763
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
5101 Gate Pkwy Ste 4
Jacksonville, FL 32256-7276
Mailing address
5101 Gate Pkwy Ste 4
Jacksonville, FL 32256-7276
Phone (904) 998-7707
National Provider Directory
National Provider DirectoryLocations
5101 Gate Pkwy
Ste 4
Jacksonville, FL 32256
Phone (904) 998-7707
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dentist
- Jacksonville, FL
- NPI 1285018333
-
- General Practice Dentistry
- Jacksonville, FL
- NPI 1154755486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679616000000",
"number": "1659074060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5101 GATE PKWY STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567276",
"telephone_number": "904-998-7707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5101 GATE PKWY STE 4",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322567276",
"telephone_number": "904-998-7707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMIABLE DENTAL CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-24",
"last_updated": "2023-03-24",
"certification_date": "2023-03-23",
"status": "A",
"authorized_official_last_name": "RAGEER",
"authorized_official_first_name": "PADMA",
"authorized_official_title_or_position": "PRESISDENT",
"authorized_official_telephone_number": "904-217-9763",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"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 Mar 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.