David and Associates Specialists, LLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

DAVID AND ASSOCIATES SPECIALISTS, LLC

Practice address

10991 San Jose Blvd Ste 55
Jacksonville, FL 32223-6655

Phone

(904) 268-0606

NPI assigned

Nov 10, 2020

Organization subpart

No

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

Authorized official

Name

Amanda C Ermatinger

Title

Insurance Coordinator

Phone

(904) 268-0606

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1604966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604966400000",
    "number": "1932701463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10991 SAN JOSE BLVD STE 55",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236655",
            "telephone_number": "904-268-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10991 SAN JOSE BLVD STE 55",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322236655",
            "telephone_number": "904-268-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID AND ASSOCIATES SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-10",
        "last_updated": "2020-11-10",
        "certification_date": "2020-11-10",
        "status": "A",
        "authorized_official_last_name": "ERMATINGER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "904-268-0606"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "insurance@davidandassociates.net",
            "affiliation": "N",
            "address_1": "10991 San Jose Blvd Ste 55",
            "city": "Jacksonville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "322236655",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Justin Mackenzie David
• Michael David

• Dentist in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 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.