BEACHWALK DENTAL, PA – NPI #1518699826
Clinic/Center

BEACHWALK DENTAL, PA is an AHC clinic located in SAINT AUGUSTINE, FL. NPPES has assigned the NPI number 1518699826 to BEACHWALK DENTAL, PA on June 27, 2022. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BEACHWALK DENTAL, PA below.

NPI Profile for
BEACHWALK DENTAL, PA

NPI Number
1518699826
Enumeration Date

(about 4 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BEACHWALK DENTAL, PA
Primary location
855 COUNTY ROAD 210 WEST
SUITE A2 AND A3
SAINT AUGUSTINE, FL 32259
Phone: (904) 549-9045 Fax:
Mailing address
2801 SAINT JOHNS BLUFF RD S STE 101
JACKSONVILLE, FL 32246-3862
Phone: (904) 998-7000 Fax:
Organization Subpart
No
Authorized Official
JESSICA NARDUCCI
GENERAL COUNSEL
Phone: (904) 626-6023
Updated
Certification Date
Jun 15, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
[email protected]
Endpoint type
CONNECT URL
Endpoint Description
[email protected]
Content Type
CSV
Affiliation
N
Endpoint Location
2801 SAINT JOHNS BLUFF RD S STE 101,
JACKSONVILLE, FL 77025-1669