US NAVY (NPI# 1730636903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730636903 |
| Entity Type | Organization |
| Organization Name | US NAVY |
| Practice Address |
Bldg H 2005 Knight Lane Navy Medicine Support Command Attn: Medical Staff Svcs Jacksonville FL 32212-0140 |
| Practice Telephone | 7607255419 |
| Mailing Telephone | 7607253213 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | DR. RODNEY MARTIN (DENTAL OFFICER) |
| Authorized Official Telephone | 9017343785 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
DN05164 | GA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801333992 | Us Navy | Military Hospital | 1752 Trellis Way, Chula Vista, CA 91915 | 2017-01-26 |
| 1750631685 | Us Navy | Exclusive Provider Organization | 207 Hickory Dr, Groton, CT 06340-2946 | 2012-09-18 |
| 1942503081 | Us Navy | Military Hospital | 3d Mlg Clr 37 Kgas, Unit 38404, Fpo, AP 96604-8404 | 2010-12-13 |
| 1982862728 | Us Navy | Clinic/Center | Psc 819 Box 1835, Fpo, AE 09645-1801 | 2008-05-29 |
| 1003021502 | Us Navy | Personal Emergency Response Attendant | 5972 Beechwalk Dr, Virginia Beach, VA 23464-4917 | 2007-05-10 |
| 1871664060 | Us Navy | Clinic/Center | 340 Hulse Rd Bldg 665 Suite 105, 850-452-8051, Pensacola, FL 32508-1089 | 2006-11-11 |
| 1427023332 | Us Navy | Military Hospital | Usnh Box 73, Fpo, AE 09589-1000 | 2006-02-22 |
| 1144291121 | Us Navy | Dentist | 502 Shoreline Rd, Carrollton, VA 23314-3368 | 2006-01-30 |
| 1154323665 | Us Navy | Clinic/Center | Mclb Barstow, Barstow, CA 92311-5050 | 2005-08-15 |
| 1104202662 | Us Navy | Military Hospital | 1 Pinckney Blvd, Beaufort, SC 29902-6122 | 2015-08-07 |
| Street Address |
BLDG H 2005 KNIGHT LANE NAVY MEDICINE SUPPORT COMMAND ATTN: MEDICAL STAFF SVCS |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32212-0140 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811980550 | Richard Conway | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2005-08-29 |
| 1669023032 | Alek Montgomery | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-09-26 |
| 1134788615 | Hannah Yuni Chung | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2019-06-10 |
| 1073008819 | Rachel Alexandra Kurcz | Dentist | Bldg H 2005 Knight Lane, Jacksonville, FL 32212-0140 | 2018-06-25 |
| 1346768231 | Stephan Sidney Barrington | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2017-08-31 |
| 1154842797 | Tae Yung Kim | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212 | 2017-07-05 |
| 1528519147 | Conrad Chou | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2016-10-19 |
| 1760834980 | United Stated Navy | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Support Command Attn: Medical Sta, Jacksonville, FL 32212-0140 | 2016-07-12 |
| 1003285453 | Anthony James Marin | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-09-16 |
| 1922475110 | Brent Stewart Ford | Dentist | Bldg H 2005 Knight Lane, Navy Medicine Support Command Attn: Medical Staff Svcs, Jacksonville, FL 32212-0140 | 2015-08-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952911752 | Jeff Woohyeok Chang | Dentist | 964 Ajax Street, Jacksonville, FL 32212 | 2020-08-06 |
| 1518484427 | Amy Kathryn Lee | Student in an Organized Health Care Education/Training Program | Bumed, Centralized Credential & Privileging Directorate, 554 Keily Street, Jacksonville, FL 32212 | 2017-08-23 |
| 1659827970 | Noah Fixelle | Dentist | Bureau of Med and Surg Ccpd, 554 Keily Street, Jacksonville, VA 32212 | 2016-08-28 |
| 1972953339 | Colin Kenneth Kelly | General Practice | Bureau of Medicine & Surgery Detachment, Nas Jacksonville, Building 554, Jacksonville, FL 32212 | 2016-06-16 |
| 1912382359 | Caitlyn Brooke Hoysock | Dentist | 554 Keiley Street, Bureau of Medicine and Surgery - Credentials, Jacksonville, FL 32212 | 2015-07-28 |
| 1285017418 | John Alexander Ruch | Dentist | 554 Keily Street Bureau of Med and Surg Ccpd, Jacksonville, FL 32212 | 2015-07-07 |
| 1407238561 | Amanda Mona Lau | Student in an Organized Health Care Education/Training Program | 554 Kelly Street, Attn Centralized Credentialing, Bureau of Medicine and Surgery, Jacksonville, FL 32212 | 2015-06-25 |
| 1063894715 | Heather Dehaan | Family Medicine | 554 Kelly Street Bureau of Medicine and Surgery, Attention: Centralized Credentialing & Privileging Dire, Jacksonville, FL 32212 | 2015-06-18 |
| 1912389677 | Catherine Garcia | Student in an Organized Health Care Education/Training Program | 554 Kelly St, Credentialing & Privileging Directorate, Bureau of Medicine & Surgery, Attention: Centralized, Jacksonville, FL 32212 | 2015-06-18 |
| 1255712675 | James Robert Benson | Dentist | 734 Keily Street, Bumed, Jacksonville, FL 32212 | 2015-06-11 |
| Find all providers in zip 32212 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327702 | Oaktree Dental LLC | Clinic/Center | 14595 Philips Highway, Jacksonville, FL 32256 | 2020-08-24 |
| 1285242941 | Neil K Stevenson Dmd, Pllc | Clinic/Center | 12078 San Jose Blvd Ste 1, Jacksonville, FL 32223-8671 | 2020-07-20 |
| 1699306803 | Gina Collins Mancini, Dmd | Clinic/Center | 3685 Henderson Dr, Jacksonville, NC 28546-5218 | 2020-01-28 |
| 1598305823 | Lenz Dental, Pllc | Clinic/Center | 13050 Gran Bay Pkwy Unit 1445, Jacksonville, FL 32258-4542 | 2020-01-15 |
| 1265070916 | Allcare Dentistry P.a. | Clinic/Center | 11915 Beach Blvd Ste 115, Jacksonville, FL 32246-6707 | 2019-12-12 |
| 1922641083 | Mariam Barikbin, Dmd, Pa | Clinic/Center | 4114 Herschel St Ste 106, Jacksonville, FL 32210-2200 | 2019-10-22 |
| 1821509340 | River Oaks Dental | Clinic/Center | 6120 San Jose Blvd, Jacksonville, FL 32217-2333 | 2017-10-24 |
| 1073024006 | Jacksonville Family Dentistry At Southside, Inc | Clinic/Center | 8101 Southside Blvd Ste 8, Jacksonville, FL 32256-8005 | 2017-10-17 |
| 1083136881 | Samir K. Hanna & Associates, P.a. | Clinic/Center | 5435 Ortega Blvd Ste 1, Jacksonville, FL 32210-8435 | 2017-07-13 |
| 1376964353 | Sorrento Dental | Clinic/Center | 106 Julington Plaza Dr, Suite 6, Jacksonville, FL 32259-6217 | 2013-12-18 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32212 |
Please comment or provide details below to improve the information on US NAVY.
| 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.