Active NPI
Joseph Longhini, DDS
- Dentist
- Jacksonville, FL
National Provider Identifier
1720725484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DE61477776
- Practice address
- 2080 Child St Dept 5000
Jacksonville, FL 32214-5000 - Phone
- (402) 707-0289
- NPI assigned
- May 15, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | PENDING | CO | |
| Dentist | 122300000X | DE61477776 | WA | Primary |
Addresses
Primary practice location
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Mailing address
2080 Child St Dept 5000
Jacksonville, FL 32214-5000
Phone (402) 707-0289
Other practice location 1
2410 Sampson St
North Chicago, IL 60088-2942
Phone (847) 688-2469
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
| License | State | Type | Specialty |
|---|---|---|---|
| DE61477776 | WA | MD | Dentist |
| PENDING | CO | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748995200000",
"number": "1720725484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT 5000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145000",
"telephone_number": "402-707-0289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 CHILD ST DEPT 5000",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322145000",
"telephone_number": "402-707-0289"
}
],
"practiceLocations": [
{
"address_1": "2410 Sampson St",
"address_purpose": "LOCATION",
"city": "North Chicago",
"state": "IL",
"postal_code": "600882942",
"country_code": "US",
"telephone_number": "847-688-2469",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LONGHINI",
"first_name": "JOSEPH",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-15",
"last_updated": "2025-06-04",
"certification_date": "2025-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "PENDING",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "WA",
"license": "DE61477776",
"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 Jun 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.