DR. NANJAPPA SHIVASHANKAR DDS
NPI 1093854168
Dentist - General Practice in Jacksonville, FL

Active since February 05, 2007
12421 SAN JOSE BLVD STE 2A, JACKSONVILLE, FL 32223(904) 268-7552(904) 268-9792 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Nanjappa Shivashankar Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NANJAPPA SHIVASHANKAR DDS (NPI 1093854168) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (FL9317) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1093854168
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. NANJAPPA SHIVASHANKARCredential: DDS
Location Address12421 SAN JOSE BLVD STE 2AJacksonville, FL 32223-8663
Mailing Address12421 San Jose Blvd Ste 2aJacksonville, FL 32223-8663 · (904) 268-7552 · Fax (904) 268-9792
Fax(904) 268-9792
Sole ProprietorNo
Enumeration DateFebruary 5, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1093854168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in FL · FL9317
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

12421 SAN JOSE BLVD STE 2A, Jacksonville, FL 32223

Accepted Insurance

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist
12421 SAN JOSE BLVD STE 2A
JACKSONVILLE, FL 32223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nanjappa Shivashankar's NPI number?

The NPI number for Nanjappa Shivashankar is 1093854168. It was assigned to this individual provider in the NPPES registry on February 5, 2007.

Where is Nanjappa Shivashankar located?

Nanjappa Shivashankar practices at 12421 San Jose Blvd Ste 2A, Jacksonville, FL 32223. The listed phone number is (904) 268-7552.

What is Nanjappa Shivashankar's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Nanjappa Shivashankar accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Dominion National and 4 other insurers list Nanjappa Shivashankar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nanjappa Shivashankar was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.