North Florida Oral & Facial Surgery, P.a.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

Legal business name

NORTH FLORIDA ORAL & FACIAL SURGERY, P.A.

Practice address

11481 Old Saint Augustine Rd Ste 203
Jacksonville, FL 32258-1475

Phone

(904) 309-5651

Fax

(904) 737-8326

NPI assigned

Mar 22, 2007

Last updated

Jan 12, 2018By 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

Dr. Rick Crici

Title

Executive Director

Phone

(904) 737-3617

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 4

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.

• Gregory Joseph Groshan, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1184760480
  Medicare reassignment NPD
• Asher Adamec, MD, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Jacksonville, FL
  • NPI 1114450269
  NPD
• Michael William Kessler, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • Ponte Vedra, FL
  • NPI 1720196272
  NPD (past)
• Tyler Wahl, D.M.D.

  • Oral and Maxillofacial Surgery (Dentist)
  • Gainesville, FL
  • NPI 1649709619
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515715200000",
    "number": "1851417406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11481 OLD ST. AUGUSTINE ROAD STE. 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581475",
            "telephone_number": "904-309-5951",
            "fax_number": "904-737-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11481 OLD SAINT AUGUSTINE RD STE 203",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322581475",
            "telephone_number": "904-309-5651",
            "fax_number": "904-737-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH FLORIDA ORAL & FACIAL SURGERY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-01-12",
        "status": "A",
        "authorized_official_last_name": "CRICI",
        "authorized_official_first_name": "RICK",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "904-737-3617",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• North Florida Medical Associates, Inc.
• North Florida Midwifery & Homebirth, LLC
• North Florida Multispecialty Physicians LLC
• North Florida OB/GYN of Jacksonville
• North Florida Obstetrical and Gynecological Associates PA
• North Florida Otolaryngology Associates PA
• North Florida Pain Center PA
• North Florida Pathology PA
• North Florida Pediatrics PA
• North Florida Pediatrics, PA

• Oral and Maxillofacial Surgery (Dentist) in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.