Daniella S. Peinado, DDS

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DN21294 Issued in FL

Practice address

13241 Bartram Park Blvd
Suite 1601
Jacksonville, FL 32258-5212

Phone

(904) 314-2404

NPI assigned

Jul 8, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Endodontics PLLC

  dba Endodontics Bartram Park

  • Endodontics
  • Jacksonville, FL
  • NPI 1477295764
  NPD Authorized official
• Endodontics 2 PLLC

  • Endodontics
  • Ponte Vedra, FL
  • NPI 1952045577
  NPD

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

{
    "created_epoch": "1278547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1679885545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3590 VALVERDE CIR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322246048",
            "telephone_number": "904-314-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13241 BARTRAM PARK BLVD",
            "address_2": "SUITE 1601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585212",
            "telephone_number": "904-314-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEINADO",
        "first_name": "DANIELLA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-08",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IL",
            "license": "021002511",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "FL",
            "license": "DN21294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peersmax LLC
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• Anyeri Kania Peguero, M.D.
• Mirna Pehlivanovic
• Yufei Pei
• Mahapitiyage Prith Peiris, M.D.
• Mariette Lee Peiris, M.D.
• Stephanie Karst Pejsa
• Kassandra Pelaez
• Pelican Blue Home Health Inc.

• Endodontics in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Endodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.