DR. CARLOS JAVIER SANTIAGO (NPI# 1063608586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063608586 |
| Entity Type | Individual |
| Full Name | DR. CARLOS JAVIER SANTIAGO |
| Credential | DDS |
| Practice Address |
4131 University Blvd S Ste 1 Jacksonville FL 32216-4346 |
| Practice Telephone | 9047081956 |
| Practice Fax Number | 9042764648 |
| Mailing Telephone | 9047081956 |
| Mailing Fax Number | 9042764648 |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-02-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | DN13959 | FL | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 003180200 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568769750 | Carlos Santiago | Optometrist | Family Vision Center Calle Union #83 Suite 129, Ponce, PR 00730 | 2011-02-24 |
| 1720208804 | Carlos Santiago | General Practice | Calle Asia 1462 Parada 22, Hospital Pavia, San Juan, PR 00910 | 2007-04-30 |
| 1285851089 | Carlos Santiago | Psychologist | Calle Jose De Diego 392 Oeste, Apartado 372770, Cayey, PR 00737-2770 | 2007-04-20 |
| 1497718290 | Carlos Damian Santiago | Physician Assistant | 1727 Margarets Walk Rd, Green Cove Springs, FL 32043-3760 | 2006-04-11 |
| 1437120250 | Carlos Manuel Santiago Sr. | Specialist | St Sargento Hernandez Carrion J6, Urbanizacion Atenas, Manati, PR 00674 | 2006-01-30 |
| 1588217012 | Carlos Felix Santiago | Occupational Therapy Assistant | 431 Wolfe Rd Ste 102, San Antonio, TX 78216-4630 | 2019-07-23 |
| 1639456445 | Carlos Manuel Santiago | Physical Therapy Assistant | 100 Lindsey Ln # A, Kingsland, GA 31548-6850 | 2011-11-08 |
| 1558318923 | Carlos E Santiago | Specialist | 6705 Red Rd, Suite 504, Coral Gables, FL 33143-3644 | 2006-05-30 |
| 1306891148 | Carlos Soriano Santiago IIi | Pain Medicine | 940 Seton Dr, Suite A, Cumberland, MD 21502-1818 | 2006-05-23 |
| Street Address |
4131 UNIVERSITY BLVD S STE 1 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32216-4346 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811245319 | Csss Holdings of Orange Park, Inc | Dentist | 4131 University Blvd S Ste 1, Jacksonville, FL 32216-4346 | 2012-08-15 |
| 1992078398 | Csss Holdings of Orange Park, Inc. | Dentist | 4131 University Blvd S Ste 1, Jacksonville, FL 32216-4346 | 2012-02-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524925 | Renee Cherie Titus | Behavior Technician | Growing Together Center 6789 Southpoint Parkway, Building 100, Jacksonville, FL 32216 | 2020-09-24 |
| 1811546575 | First Coast Orthopedic Center, LLC | Clinic/Center | 4035 Southpoint Boulevard, Jacksonville, FL 32216 | 2019-09-05 |
| 1922578558 | Fatima Hussain Crofton | Optometrist | 7051 Southpoint Parkway S 300, Jacksonville, FL 32216 | 2018-11-27 |
| 1154802833 | John-paul Pham | Internal Medicine | 4141 Southpoint Drive East, Suite D, Jacksonville, FL 32216 | 2018-08-22 |
| 1790279479 | Joseph Richard Kennedy | Physician Assistant | 6650 Corporate Center Pkwy Apt 1604, Jacksonville, FL 32216 | 2018-06-18 |
| 1801304357 | Kelli M. Tyson | Nurse Practitioner | 3550 University Blvd. S., Ste 302, Jacksonville, FL 32216 | 2018-01-18 |
| 1376054809 | Angela M Whittinghill | Counselor | 8833 Perimeter Park Blvd #702, Jacksonville, FL 32216 | 2017-10-24 |
| 1629508072 | Zoryana Yufan | Dentist | 8750 Perimeter Park Blvd Ste 101, Jacksonville, FL 32216 | 2017-06-19 |
| 1700318896 | Christina Kaczmarek | Behavior Technician | 6816 Southpoint Pkwy Ste 500, Jacksonville, FL 32216 | 2017-03-29 |
| 1932640422 | Loudine Racius | Nurse Practitioner | 8539 Gate Parkway W, Unit 1422, Jacksonville, FL 32216 | 2017-03-16 |
| Find all providers in zip 32216 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902419864 | Andre M Fang | Dentist | 6801 Roosevelt Blvd, Jacksonville, FL 32212-1192 | 2020-08-28 |
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1093323479 | Britney Marie Cruz | Dentist | 1280 Western Blvd Unit 200, Jacksonville, NC 28546-7658 | 2020-07-21 |
| 1083238786 | Sleep Better Solutions LLC | Dentist | 4215 Southpoint Blvd Ste 240, Jacksonville, FL 32216-0932 | 2020-05-29 |
| 1114550258 | James Moran | Dentist | 7990 Baymeadows Rd E # 718, Jacksonville, FL 32256-2961 | 2020-02-18 |
| 1265075329 | Latoya Goins | Dentist | 1280 Western Blvd, Jacksonville, NC 28546-6653 | 2019-10-22 |
| 1437706462 | Stephanie Marquez | Dentist | 751 Oak St Ste 601, Jacksonville, FL 32204-3373 | 2019-08-23 |
| 1831751064 | Rachel Marie Schloth | Dentist | 12086 Fort Caroline Rd Ste 105, Jacksonville, FL 32225-2688 | 2019-07-09 |
| 1598324113 | Dhaval Yogeshkumar Shah | Dentist | 8206 Philips Hwy., Suite 21, Jacksonville, FL 32256 | 2019-06-07 |
| 1235796954 | Carolina Garcia | Dentist | 790 Skymarks Dr Ste 109, Jacksonville, FL 32218-7267 | 2019-05-29 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32216 |
Please comment or provide details below to improve the information on DR. CARLOS JAVIER SANTIAGO.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.