Organization Active NPI

Bharatkumar D. Desai D.D.S.P.a.

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1891912408
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 0011247 Issued in FL
Legal business name
BHARATKUMAR D. DESAI D.D.S.P.A.
Practice address
1440 Dunn Ave Ste 1
Jacksonville, FL 32218-4894
Phone
(904) 757-2500
NPI assigned
Apr 18, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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
Mr. Bharatkumar D Desai, D.D.S.NPI 1205125424
Title
Dentist
Phone
(904) 757-2500

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
Dentist 122300000X DN 0011247 FL Primary

Addresses

Primary practice location

1440 Dunn Ave Ste 1
Jacksonville, FL 32218-4894

Mailing address

1440 Dunn Ave Ste 1
Jacksonville, FL 32218-4894
Phone (904) 757-2500

National Provider Directory

National Provider Directory

Locations

1440 Dunn Ave
Ste 1
Jacksonville, FL 32218
Phone (904) 757-2500

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891912408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 DUNN AVE STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184894",
            "telephone_number": "904-757-2500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 DUNN AVE STE 1",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322184894",
            "telephone_number": "904-757-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHARATKUMAR D. DESAI D.D.S.P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "BHARATKUMAR",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-757-2500",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 0011247",
            "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.