Individual provider Active NPI

James Gregory Sindad, D.M.D.

  • General Practice Dentistry
  • St Augustine, FL
National Provider Identifier
1770638447
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN8975 Issued in FL
Practice address
72 Valencia St
St Augustine, FL 32084-3540
Phone
(904) 829-2032
Fax
(904) 829-6480
NPI assigned
Jan 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN8975 FL Primary

Addresses

Primary practice location

72 Valencia St
St Augustine, FL 32084-3540

Mailing address

72 Valencia St
St Augustine, FL 32084-3540
Phone (904) 829-2032

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160314000067 MO Order and Referring Only - DentistPractitioner - Dentist 1254637531

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN8975FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770638447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 VALENCIA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843540",
            "telephone_number": "904-829-2032",
            "fax_number": "904-829-6480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 VALENCIA ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843540",
            "telephone_number": "904-829-2032",
            "fax_number": "904-829-6480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINDAD",
        "first_name": "JAMES",
        "middle_name": "GREGORY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN8975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.