Darryl a. Field, DDS, PA, LLC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

DN14294 Issued in FL

Legal business name

DARRYL A. FIELD, DDS, PA, LLC

Practice address

1361 13TH Ave S Ste 220
Jacksonville Beach, FL 32250-3236

Phone

(904) 273-4373

Fax

(904) 242-8747

NPI assigned

Dec 8, 2014

Last updated

Jan 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michelle E Hougland

Title

Practice Administrator

Phone

(904) 273-4373

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amelia Island Periodontics Other name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Darryl A Field, DDS

  • Periodontics
  • Jacksonville Beach, FL
  • NPI 1801982145
  NPD
• Raziel Velgis, DDS, MSD

  • Periodontics
  • Jacksonville Beach, FL
  • NPI 1225497407
  NPD (past)

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546819200000",
    "number": "1841698883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 220",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503236",
            "telephone_number": "904-273-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1361 13TH AVE S STE 220",
            "city": "JACKSONVILLE BEACH",
            "state": "FL",
            "postal_code": "322503236",
            "telephone_number": "904-273-4373",
            "fax_number": "904-242-8747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960115 Gateway Blvd Unit B",
            "address_purpose": "LOCATION",
            "city": "Fernandina Beach",
            "state": "FL",
            "postal_code": "320349127",
            "country_code": "US",
            "telephone_number": "904-990-1079",
            "fax_number": "904-242-8747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DARRYL A. FIELD, DDS, PA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-08",
        "last_updated": "2019-01-07",
        "status": "A",
        "authorized_official_last_name": "HOUGLAND",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "904-273-4373"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN14294",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST, PERIODONTITIS",
            "identifier": "1801982145",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amelia Island Periodontics",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kristen E Currie, M.D.
• Carla Cutter, LMT
• Marilyn Kay Dahl, RD, MBA, LD/N
• John Dallarosa, M.D.
• Dancing Phoenix PLLC
• Chelsey Millstone Dasher, RD
• David C Blackmon,PHD,Psych SVC
• Agnes G. David, M. D.
• Roy F David, DMD
• Sarah Kathryn David

• Periodontics in Jacksonville Beach, FL
• Providers in Jacksonville Beach, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2019; 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.