NPIMap

Organization Active NPI

Nemetz Dental Associates

  • Dentist
  • Jacksonville, FL
National Provider Identifier
1942578067
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12937 Issued in FL
Legal business name
NEMETZ DENTAL ASSOCIATES
Practice address
12421 San Jose Blvd
Suite 310
Jacksonville, FL 32223-2680
Phone
(904) 292-2210
Fax
(904) 292-2205
NPI assigned
Dec 3, 2011
Last updated
Dec 3, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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

Authorized official

Name
Dr. Marinela Nemetz, D.D.S.NPI 1205048857
Title
Dentist
Phone
(904) 292-2210

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15458 FL
Dentist 122300000X DN12937 FL Primary

Addresses

Primary practice location

12421 San Jose Blvd
Suite 310
Jacksonville, FL 32223-2680

Mailing address

12421 San Jose Blvd
Suite 310
Jacksonville, FL 32223-2680
Phone (904) 292-2210

National Provider Directory

National Provider Directory

Locations

12421 San Jose Blvd
Ste 310
Jacksonville, FL 32223
Phone (904) 292-2210

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.

NPI Registry JSON

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

{
    "created_epoch": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1942578067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232680",
            "telephone_number": "904-292-2210",
            "fax_number": "904-292-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12421 SAN JOSE BLVD",
            "address_2": "SUITE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322232680",
            "telephone_number": "904-292-2210",
            "fax_number": "904-292-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEMETZ DENTAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "NEMETZ",
        "authorized_official_first_name": "MARINELA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-292-2210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15458",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12937",
            "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 Dec 3, 2011; 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.