DR. TRACEY B DAVID DMD
NPI 1538230321
Dentist - General Practice in Jacksonville Beach, FL

Active since November 13, 2006Opted out of Medicare · through Jan 19, 2027
120 9TH AVE N, JACKSONVILLE BEACH, FL 32250(904) 246-7554(904) 249-1842 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Tracey B David Dmd NPPES

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

DR. TRACEY B DAVID DMD (NPI 1538230321) is an individual general practice provider in Jacksonville Beach, Florida, licensed in Florida (11927) and active in the NPI registry since November 2006. She has opted out of Medicare through January 19, 2027.

NPPES Registry Identity

NPI1538230321
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. TRACEY B DAVIDCredential: DMD
Location Address120 9TH AVE NJacksonville Beach, FL 32250-7141
Mailing Address120 9th Ave NJacksonville Beach, FL 32250-7141 · (904) 246-7554 · Fax (904) 249-1842
Fax(904) 249-1842
Sole ProprietorYes
Enumeration DateNovember 13, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1538230321 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 · 11927
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.
120 9TH AVE N, Jacksonville Beach, FL 32250

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Tracey B David Dmd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 19, 2021 through January 19, 2027.

Opt-Out Effective DateJanuary 19, 2021
Opt-Out In Effect ThroughJanuary 19, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

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

Dentist (General Practice)
120 9TH AVE N
JACKSONVILLE BEACH, FL 32250
Dentist (General Practice)
120 9TH AVE N
JACKSONVILLE BEACH, FL 32250
Dentist (General Practice)
120 9TH AVE N
JACKSONVILLE BEACH, FL 32250

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 Tracey David's NPI number?

The NPI number for Tracey David is 1538230321. It was assigned to this individual provider in the NPPES registry on November 13, 2006.

Where is Tracey David located?

Tracey David practices at 120 9th Ave N, Jacksonville Beach, FL 32250. The listed phone number is (904) 246-7554.

What is Tracey David's specialty?

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

Is Tracey David enrolled in Medicare?

No. Tracey David has opted out of Medicare through January 19, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Tracey David accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Tracey David 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 Tracey David was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.