Active NPI
Elizabeth Amoff, DDS
- General Practice Dentistry
- Jacksonville, FL
National Provider Identifier
1780311613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN27405
- Practice address
- 2771 Monument Rd Ste 21
Jacksonville, FL 32225-3514 - Phone
- (904) 641-3732
- NPI assigned
- Aug 2, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN27405 | FL | Primary |
Addresses
Primary practice location
2771 Monument Rd Ste 21
Jacksonville, FL 32225-3514
Mailing address
697 Friargate CT
Jacksonville, FL 32225-5624
Phone (904) 884-1198
Other practice location 1
751 Oak St Ste 601
Jacksonville, FL 32204-3373
Phone (904) 354-4031
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN27405 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659398400000",
"number": "1780311613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "697 FRIARGATE CT",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322255624",
"telephone_number": "904-884-1198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2771 MONUMENT RD STE 21",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322253514",
"telephone_number": "904-641-3732"
}
],
"practiceLocations": [
{
"address_1": "751 Oak St Ste 601",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322043373",
"country_code": "US",
"telephone_number": "904-354-4031",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AMOFF",
"first_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-02",
"last_updated": "2022-08-02",
"certification_date": "2022-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN27405",
"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 Aug 2, 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.