Unknown Individual – Periodontics, NPI 1649341231

Unknown Individual is a healthcare provider. based in Jacksonville, Florida. specializing in Periodontics. They hold a License No. 8835 (FL). The NPI Number for Unknown Individual is 1649341231

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1649341231
Phone
(904) 737-2040
Address
3595 CARDINAL POINT DRIVE
Deactivation Date
29 March 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3595, Cardinal Point Drive, Jacksonville, Duval County, Florida, 32257, United States

    JACKSONVILLE, FL 32257

    Phone: (904) 737-2040

    Fax: (904) 737-2051

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32257)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1649341231 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Periodontics. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Jacksonville?
Public fields place Unknown Individual around Jacksonville, Florida. Always confirm the exact site before visiting.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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