CSSS Holdings of Orange Park, Inc

Primary specialty

DentistTaxonomy code 122300000X

License

13959 Issued in FL

Legal business name

CSSS HOLDINGS OF ORANGE PARK, INC

Practice address

4131 University Blvd S Ste 1
Jacksonville, FL 32216-4346

Phone

(904) 738-7856

NPI assigned

Aug 15, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Carlos Santiago

Title

Owner

Phone

(904) 738-7856

Specialties & licenses 1

Addresses

Tax ID family

CSSS Holdings of Orange Park Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• CSSS Holdings of Orange Park, Inc.

  • Dentist
  • Jacksonville, FL
  • NPI 1992078398
  NPD tax ID

Locations

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

{
    "created_epoch": "1344988800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344988800000",
    "number": "1811245319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-738-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4131 UNIVERSITY BLVD S STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322164346",
            "telephone_number": "904-738-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSSS HOLDINGS OF ORANGE PARK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-15",
        "last_updated": "2012-08-15",
        "status": "A",
        "authorized_official_last_name": "SANTIAGO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-738-7856",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "13959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal McFadden
• Csi Private Duty Services, Inc
• Csi-Pediatric Services, LLC
• Csi-Pediatric Services, LLC.
• David N Csikai, M.D.
• CSSS Holdings of Orange Park, Inc.
• CTG Business LLC
• Gil A Cu, MD
• Maria Minchele Cua, PT
• Roy Cucchiara, MD

• 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 Aug 15, 2012; 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.