Organization Active NPI

Canopy Oak Dental, P.a.

  • Dental Clinic/Center
  • Ocala, FL
National Provider Identifier
1891210662
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
CANOPY OAK DENTAL, P.A.
Practice address
8075 SW Highway 200 Ste 114-115
Ocala, FL 34481-7823
Phone
(352) 237-3008
NPI assigned
Aug 14, 2017
Last updated
Aug 14, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Amber Parks
Title
Account Specialist
Phone
(904) 998-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

8075 SW Highway 200 Ste 114-115
Ocala, FL 34481-7823

Mailing address

3545 Saint Johns Bluff Rd S # 352
Jacksonville, FL 32224-2682

National Provider Directory

National Provider Directory

Locations

8075 SW Highway 200
Ste 114115
Ocala, FL 34481
Phone (352) 237-3008

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1891210662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 SAINT JOHNS BLUFF RD S # 352",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322242682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 SW HIGHWAY 200 STE 114-115",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344817823",
            "telephone_number": "352-237-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANOPY OAK DENTAL, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "ACCOUNT SPECIALIST",
        "authorized_official_telephone_number": "904-998-7000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2017; 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.