Organization Active NPI

Narducci Dental Group, P.a.

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1831563550
Registry record updated Nov 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15716 Issued in FL
Legal business name
NARDUCCI DENTAL GROUP, P.A.
Practice address
2801 Saint Johns Bluff Rd S
Suite# 4
Jacksonville, FL 32246-3761
Phone
(904) 998-7000
Fax
(904) 998-7702
NPI assigned
Nov 18, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2015

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

Authorized official

Name
Nicholas A Narducci, DMD
Title
Owner
Phone
(904) 998-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN15716 FL Primary

Addresses

Primary practice location

2801 Saint Johns Bluff Rd S
Suite# 4
Jacksonville, FL 32246-3761

Mailing address

2801 Saint Johns Bluff Rd S
Suite# 4
Jacksonville, FL 32246-3761
Phone (904) 998-7000

National Provider Directory

National Provider Directory

Locations

8209 W Beaver St
Jacksonville, FL 32220
Phone (904) 781-7782

2801 Saint Johns Bluff Rd S
Ste 201
Jacksonville, FL 32246

NPI Registry JSON

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

{
    "created_epoch": "1447804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447804800000",
    "number": "1831563550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE# 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463761",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 SAINT JOHNS BLUFF RD S",
            "address_2": "SUITE# 4",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322463761",
            "telephone_number": "904-998-7000",
            "fax_number": "904-998-7702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NARDUCCI DENTAL GROUP, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-18",
        "last_updated": "2015-11-18",
        "status": "A",
        "authorized_official_last_name": "NARDUCCI",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-998-7000",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15716",
            "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 Nov 18, 2015; 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.