Rex Beasom Painter, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN0013507 Issued in FL

Practice address

10 Dolphin Dr
St Augustine, FL 32080-4531

Phone

(904) 824-8652

Fax

(904) 824-9169

NPI assigned

Jun 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Smile So Big First City LLC

  • Dental Clinic/Center
  • Saint Augustine, FL
  • NPI 1881560274
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720284698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOLPHIN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804531",
            "telephone_number": "904-824-8652",
            "fax_number": "904-824-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOLPHIN DR",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320804531",
            "telephone_number": "904-824-8652",
            "fax_number": "904-824-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAINTER",
        "first_name": "REX",
        "middle_name": "BEASOM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0013507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Marie Padilla, M.D.
• Brittany Paglicco
• Pain and Spine Physio Rehab LLC
• Pain Management Specialists of North Florida P a
• Pain Solutions & Physical Therapy, Inc.
• Gezim Pajaziti, APRN
• Bruce Henry Paley, D.O.
• Genelle Pallasigui
• Palm Beach Fluoroscopy Services LLC
• Rebecca Elaine Palmer, PMHNP-BC

• Dentist in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.