Active NPI
Michael a Chanatry DDS PA
- Periodontics
- Jacksonville, FL
National Provider Identifier
1942467345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- Legal business name
- MICHAEL A CHANATRY DDS PA
- Practice address
- 3595 Cardinal Point Dr
Jacksonville, FL 32257-5500 - Phone
- (904) 737-2040
- Fax
- (904) 737-2051
- NPI assigned
- May 22, 2008
- 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. Michael Albert Chanatry, DDS
- Title
- Owner/President
- Phone
- (904) 737-2040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | Primary |
Addresses
Primary practice location
3595 Cardinal Point Dr
Jacksonville, FL 32257-5500
Mailing address
3595 Cardinal Point Dr
Jacksonville, FL 32257-5500
Phone (904) 737-2040
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Periodontics
- Jacksonville, FL
- NPI 1629127956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1211414400000",
"number": "1942467345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3595 CARDINAL POINT DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575500",
"telephone_number": "904-737-2040",
"fax_number": "904-737-2051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3595 CARDINAL POINT DR",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322575500",
"telephone_number": "904-737-2040",
"fax_number": "904-737-2051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MICHAEL A CHANATRY DDS PA",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-22",
"last_updated": "2008-05-22",
"status": "A",
"authorized_official_last_name": "CHANATRY",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "ALBERT",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "904-737-2040",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Periodontics",
"state": null,
"license": null,
"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 May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.