Kathryn Alejandra Antony, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19067 Issued in FL

Practice address

13820 Old Saint Augustine Rd
105
Jacksonville, FL 32258-5427

Phone

(904) 260-7700

Fax

(904) 260-7733

NPI assigned

Jul 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1278115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373846400000",
    "number": "1811209059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11648 HAMPTON PARK BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322562949",
            "telephone_number": "352-256-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13820 OLD SAINT AUGUSTINE RD",
            "address_2": "105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322585427",
            "telephone_number": "904-260-7700",
            "fax_number": "904-260-7733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONY",
        "first_name": "KATHRYN",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-03",
        "last_updated": "2013-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Macarmenleah Sabado Antolin
• Sophia Anastasia Antonini, DC
• Leandra Moore S. Antonio-Jose, D.D.S.
• Michelle Senia Antonio, PT
• Nader Mohamed Antonios, MD
• Paul Panikulam Antony, MD
• Maria Antoun, PHARM.D.
• Patrick Semaan Antoun, MD
• Jorge C Antunez de Mayolo, MD
• Rekia Anumege, FNP-BC

• General Practice Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.