NPIMap

Organization Active NPI

Hidden Hills Family Dentistry

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1871647255
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN13166 Issued in FL
Legal business name
HIDDEN HILLS FAMILY DENTISTRY
Practice address
12086 Fort Caroline Road
Suite 105
Jacksonville, FL 32225-2688
Phone
(904) 807-9127
Fax
(904) 807-9129
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Paul Schloth, DMDNPI 1508110602
Title
Dentist
Phone
(904) 807-9127

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN13166 FL Primary

Addresses

Primary practice location

12086 Fort Caroline Road
Suite 105
Jacksonville, FL 32225-2688

Mailing address

12086 Fort Caroline Road
Suite 105
Jacksonville, FL 32225-2688
Phone (904) 807-9127

National Provider Directory

National Provider Directory

Locations

12086 Fort Caroline Rd
Ste 105
Jacksonville, FL 32225
Phone (904) 807-9127

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1871647255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE ROAD",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-807-9127",
            "fax_number": "904-807-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12086 FORT CAROLINE ROAD",
            "address_2": "SUITE 105",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322252688",
            "telephone_number": "904-807-9127",
            "fax_number": "904-807-9129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIDDEN HILLS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SCHLOTH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-807-9127",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN13166",
            "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 Aug 22, 2020; 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.