Organization Active NPI

Steven R. Freeman DDS PL

  • Dentist
  • St Augustine, FL
National Provider Identifier
1982868634
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN17155 Issued in FL
Legal business name
STEVEN R. FREEMAN DDS PL
Practice address
319 W Town PL Ste 21
St Augustine, FL 32092-3103
Phone
(904) 940-3933
NPI assigned
Jul 11, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

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

Authorized official

Name
Steven Ronald FreemanNPI 1023110442
Title
Dentist
Phone
(904) 940-3933

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN17155 FL Primary

Addresses

Primary practice location

319 W Town PL Ste 21
St Augustine, FL 32092-3103

Mailing address

319 W Town PL Ste 21
St Augustine, FL 32092-3103
Phone (904) 940-3933

Other names 1

  • Elite Smiles Doing business as

National Provider Directory

National Provider Directory

Locations

319 W Town Pl
Ste 21
St Augustine, FL 32092
Phone (386) 320-6087

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1982868634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL STE 21",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923103",
            "telephone_number": "904-940-3933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W TOWN PL STE 21",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320923103",
            "telephone_number": "904-940-3933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN R. FREEMAN DDS PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-11",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "RONALD",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "904-940-3933"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN17155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elite Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 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.

Verify at the official NPI Registry.