Nani Complete Dentistry PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NANI COMPLETE DENTISTRY PLLC

Practice address

7740 Point Meadows Dr # 4&5
Jacksonville, FL 32256-9179

Phone

(919) 321-7824

NPI assigned

Nov 21, 2022

Organization subpart

No

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

Authorized official

Name

Jonathan A Montoya, DDS

Title

Owner

Phone

(919) 321-7824

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 2

• Jacksonville Complete Dentistry Doing business as
• Jacksonville Complete Dentistry PLLC Former legal business name

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1668988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668988800000",
    "number": "1720797442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3950 SW 24TH AVE APT 323",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326074470",
            "telephone_number": "919-321-7824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7740 POINT MEADOWS DR # 4&5",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322569179",
            "telephone_number": "919-321-7824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANI COMPLETE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-21",
        "last_updated": "2022-11-21",
        "certification_date": "2022-11-21",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-321-7824",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801413265",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.jacksonvillecompletedentistry.com/",
            "affiliation": "N",
            "endpointDescription": "Website",
            "address_1": "7740 Point Meadows Dr # 4&5",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322569179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Jacksonville Complete Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Jacksonville Complete Dentistry PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Dental Clinic/Center in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; 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.