NPIMap

Organization Active NPI

Economy Dentures

Doing business as Ecomony Dentures

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1750588133
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN8243 Issued in FL
Legal business name
ECONOMY DENTURES
Doing business as
Ecomony Dentures
Practice address
1680 Dunn Ave Ste 31
Jacksonville, FL 32218-4744
Phone
(904) 696-6767
Fax
(904) 696-6767
NPI assigned
Jun 29, 2007
Last updated
Jun 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Leroy R. Polite, D.M.D.NPI 1740383017
Title
Dentist
Phone
(904) 696-6767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN8243 FL Primary

Addresses

Primary practice location

1680 Dunn Ave Ste 31
Jacksonville, FL 32218-4744

Mailing address

1680 Dunn Ave Ste 31
Jacksonville, FL 32218-4744
Phone (904) 696-6767

Other identifiers 3

IdentifierTypeStateIssuer
076491400MedicaidFL
076637200MedicaidFL
073760700MedicaidFL

Other names 1

  • ECOMONY DENTURES Doing business as

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 2

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1750588133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 31",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184744",
            "telephone_number": "904-696-6767",
            "fax_number": "904-696-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 DUNN AVE STE 31",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184744",
            "telephone_number": "904-696-6767",
            "fax_number": "904-696-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECONOMY DENTURES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "POLITE",
        "authorized_official_first_name": "LEROY",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-696-6767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN8243",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076491400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "076637200",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073760700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECOMONY DENTURES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 25, 2008; 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.