Beaches Orthodontics, P.a.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16801 Issued in FL

Legal business name

BEACHES ORTHODONTICS, P.A.

Practice address

330 Aia North
Suite 326
Ponte Vedra Beach, FL 32082

Phone

(904) 273-5570

Fax

(904) 273-8518

NPI assigned

Jul 27, 2010

Last updated

Jul 27, 2010By 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. Kevin W. O'Shaughnessy, D.M.D., M.S.

Title

President

Phone

(904) 273-5570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1280188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280188800000",
    "number": "1922312354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 AIA NORTH",
            "address_2": "SUITE 326",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-273-5570",
            "fax_number": "904-273-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 AIA NORTH",
            "address_2": "SUITE 326",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "32082",
            "telephone_number": "904-273-5570",
            "fax_number": "904-273-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACHES ORTHODONTICS, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-27",
        "last_updated": "2010-07-27",
        "status": "A",
        "authorized_official_last_name": "O'SHAUGHNESSY",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "904-273-5570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D., M.S."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sophie Bargeron, DPT
• Robert Barnhard, P.T.
• Leslie A Barstow
• Shannon Marie Basham, AU.D.
• Beaches Dermatology, P.a.
• Beaches Speech Therapy
• Amy Beane, PT
• Sophia Diane Bellavista, LAT, ATC
• Laurie Joi Scheer Berger, MPT
• Roxana Bermeo-Lucas, OTR

• Orthodontics and Dentofacial Orthopedics Dentistry in Ponte Vedra Beach, FL
• Providers in Ponte Vedra Beach, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2010; 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.