Organization Active NPI

Downtown Dental Associates

  • General Practice Dentistry
  • Jacksonville, FL
National Provider Identifier
1730315706
Registry record updated Jun 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2639 Issued in FL
Legal business name
DOWNTOWN DENTAL ASSOCIATES
Practice address
223 W Adams St
Jacksonville, FL 32202-4301
Phone
(904) 356-0072
Fax
(904) 356-2338
NPI assigned
Jun 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2009

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

Authorized official

Name
Mrs. Pauline Harrelson
Title
Office Manager
Phone
(904) 356-0072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 2639 FL Primary

Addresses

Primary practice location

223 W Adams St
Jacksonville, FL 32202-4301

Mailing address

223 W Adams St
Jacksonville, FL 32202-4301
Phone (904) 356-0072

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1244073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244073600000",
    "number": "1730315706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "223 W ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024301",
            "telephone_number": "904-356-0072",
            "fax_number": "904-356-2338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 W ADAMS ST",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322024301",
            "telephone_number": "904-356-0072",
            "fax_number": "904-356-2338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNTOWN DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-04",
        "last_updated": "2009-06-04",
        "status": "A",
        "authorized_official_last_name": "HARRELSON",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "904-356-0072",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "2639",
            "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, 2009; 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.