Florida Dental Acquisitions P.a

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

FLORIDA DENTAL ACQUISITIONS P.A

Practice address

9776 San Jose Blvd Ste 7
Jacksonville, FL 32257-5464

Phone

(904) 268-6751

NPI assigned

Feb 3, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Dormeshian

Title

Owner

Phone

(917) 847-6976

Specialties & licenses 1

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ronald Elinoff, DDS

  • Dentist
  • Jacksonville, FL
  • NPI 1497822282
  NPD (past)
• Austin Richard Fowler, DMD

  • General Practice Dentistry
  • Jacksonville, FL
  • NPI 1225567530
  NPD (past)

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

{
    "created_epoch": "1486080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486080000000",
    "number": "1730627332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575464",
            "telephone_number": "904-268-6751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD STE 7",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322575464",
            "telephone_number": "904-268-6751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLORIDA DENTAL ACQUISITIONS P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-03",
        "last_updated": "2017-02-03",
        "status": "A",
        "authorized_official_last_name": "DORMESHIAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-847-6976",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florida Center for Infectious Diseases, Inc.
• Florida Center for Integrative Health, Inc. (Florida Integrative Health)
• Florida Children's Institute
• Florida Childrens Institute
• Florida Clinical Solutions Academy LLC
• Florida Dental Team, LLC
• Florida Department of Health
• Florida Department of Health (Duval County Health Department)
• Florida Department of Health (Duval County Health Dept)
• Florida Department of Health

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2017; 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.