San Jose Family Denistry

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SAN JOSE FAMILY DENISTRY

Practice address

9310 Old Kings Rd S Ste 601
Jacksonville, FL 32257-6178

Phone

(904) 737-8081

Fax

(904) 737-3343

NPI assigned

May 29, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Shonda Allemand

Title

Front Office

Phone

(904) 737-8081

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1942612502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576178",
            "telephone_number": "904-737-8081",
            "fax_number": "904-737-3343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9310 OLD KINGS RD S STE 601",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576178",
            "telephone_number": "904-737-8081",
            "fax_number": "904-737-3343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOSE FAMILY DENISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-29",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "ALLEMAND",
        "authorized_official_first_name": "SHONDA",
        "authorized_official_title_or_position": "FRONT OFFICE",
        "authorized_official_telephone_number": "904-737-8081",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1407867237",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DN0010974",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hazem Mahmoud Samy, MD
• San Jose Aspen PLLC
• San Jose Blvd Opco LLC
• San Jose Chiropractic, LLC
• San Jose Clinic, P.a.
• San Jose Imaging Center LLC
• San Jose Therapy Services LLC
• San Juan Dentistry PA
• San Juan Diagnostics LLC
• San Juan Retirement Home

• Durable Medical Equipment & Medical Supplies in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Durable Medical Equipment & Medical Supplies in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.