Individual provider Active NPI

Jose Edir Guedes Filho, DDS

  • Dentist
  • Ponte Vedra Beach, FL
National Provider Identifier
1932649571
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN27744 Issued in FL
Practice address
330 A1A N Ste 326
Ponte Vedra Beach, FL 32082-1827
Phone
(216) 302-5140
NPI assigned
Mar 1, 2017
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN27744 FL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

330 A1A N Ste 326
Ponte Vedra Beach, FL 32082-1827

Mailing address

19406 Stony Point Dr
Strongsville, OH 44136-8160
Phone (216) 302-5140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230602000965 FL Order and Referring Only - DentistPractitioner - Dentist 2365713161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Dentistry PLLC Current Accepting new patients

Locations

330 A1A N
Ste 326
Ponte Vedra Beach, FL 32082
Phone (216) 302-5140

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1932649571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19406 STONY POINT DR",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441368160",
            "telephone_number": "216-302-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 A1A N STE 326",
            "city": "PONTE VEDRA BEACH",
            "state": "FL",
            "postal_code": "320821827",
            "telephone_number": "216-302-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEDES FILHO",
        "first_name": "JOSE",
        "middle_name": "EDIR",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-01",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN27744",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra Beach, FL

Sources for this page

Verify at the official NPI Registry.