JAY ST CHARLES II DDS
NPI 1336591452
Dentist - General Practice in Jacksonville, FL

Q: What is Jay St Charles's NPI number?

The NPI number for Jay St Charles is 1336591452. It was assigned to this individual provider in the NPPES registry on July 13, 2016.

Q: What is Jay St Charles's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jay St Charles was last updated on July 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 13, 2016PECOS Enrolled

5149 NORMANDY BLVD UNIT 4, JACKSONVILLE, FL 32205(904) 781-1201 Get Directions Write a Review

NPPES record last updated: July 13, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Jay St Charles Ii Dds NPPES

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

JAY ST CHARLES II DDS (NPI 1336591452) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (DN 22093) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1336591452

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameJAY ST CHARLES IICredential: DDS

Location Address5149 NORMANDY BLVD UNIT 4Jacksonville, FL 32205-4861

Mailing Address5149 Normandy Blvd Unit 4Jacksonville, FL 32205-4861

Phone(904) 781-1201

Sole ProprietorNo

Enumeration DateJuly 13, 2016

✔ NPI 1336591452 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 · DN 22093

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.

5149 NORMANDY BLVD UNIT 4, Jacksonville, FL 32205

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay St Charles Ii Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 9

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

VIBHUTI GARG DMD

Dentist (General Practice)