Active NPI
Jimmie D Lassiter DMD LLC
- General Practice Dentistry
- Jay, FL
National Provider Identifier
1932882552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- JIMMIE D LASSITER DMD LLC
- Practice address
- 5285 Commerce St
Jay, FL 32565-1179 - Phone
- (850) 675-8545
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jim Lassiter, DMD
- Title
- Owner
- Phone
- (850) 675-8545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
5285 Commerce St
Jay, FL 32565-1179
Mailing address
5285 Commerce St
Jay, FL 32565-1179
Phone (850) 675-8545
National Provider Directory
National Provider DirectoryLocations
5285 Commerce St
Jay, FL 32565
Phone (850) 675-8545
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Dentist
- Jay, FL
- NPI 1730128869
-
- Dentist
- Jay, FL
- NPI 1083399489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1691625600000",
"number": "1932882552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5285 COMMERCE ST",
"city": "JAY",
"state": "FL",
"postal_code": "325651179",
"telephone_number": "850-675-8545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5285 COMMERCE ST",
"city": "JAY",
"state": "FL",
"postal_code": "325651179",
"telephone_number": "850-675-8545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JIMMIE D LASSITER DMD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-10",
"status": "A",
"authorized_official_last_name": "LASSITER",
"authorized_official_first_name": "JIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "850-675-8545",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jay, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.