Active NPI
Jacob L Armanious, DDS
- Dentist
- Daytona Beach, FL
National Provider Identifier
1841492626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 8083
- Practice address
- 150 S Peninsula Dr
Daytona Beach, FL 32118-4490 - Phone
- (386) 253-7276
- NPI assigned
- Jun 4, 2007
- Last updated
- Jan 11, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 8083 | FL | Primary |
Addresses
Primary practice location
150 S Peninsula Dr
Daytona Beach, FL 32118-4490
Mailing address
PO Box 265566
Daytona Beach, FL 32126-5566
Phone (386) 253-7276
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0764345-00 | Medicaid | FL |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161026002577 | FL | Order and Referring Only - Oral Surgery | 8820376866 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8083 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294704000000",
"number": "1841492626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 265566",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321265566",
"telephone_number": "386-253-7276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 S PENINSULA DR",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321184490",
"telephone_number": "386-253-7276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARMANIOUS",
"first_name": "JACOB",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-06-04",
"last_updated": "2011-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "8083",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0764345-00",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
- Ara-Daytona Beach Dialysis LLC (Dialysis Care Center of Daytona)
- Dinesh Arab, M.D.
- Pablo Aramayo, LMT
- Constanza R Aranda Garcia, PT, DPT, MSPH
- Arbor Vitae Natural Health Care, LLC
- Scott Andrew Armstrong, ATC, LAT
- Antonios Arnaoutis, P.T.
- Rosa A Arndt, APRN
- Sharell Arneaud, MSW
- Anthony Daniel Arnold, A.T.C., L. A. T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2011; 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.