IndividualActive
Nanjappa Shivashankar, DDS
NPI 1093854168 · General Practice Dentistry · Jacksonville, FL
Nanjappa Shivashankar, DDS is a General Practice Dentistry provider in Jacksonville, FL (NPI 1093854168).
Provider details
- NPI number
- 1093854168
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- FL9317 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12421 San Jose Blvd Ste 2a
Jacksonville, FL 32223-8663
Phone: (904) 268-7552
Fax: (904) 268-9792
Street-level locationGet directions
Mailing address
12421 San Jose Blvd Ste 2a
Jacksonville, FL 32223-8663
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Nanjappa Shivashankar's NPI number?
- Nanjappa Shivashankar's National Provider Identifier (NPI) is 1093854168, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nanjappa Shivashankar's specialty?
- Nanjappa Shivashankar is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Nanjappa Shivashankar located?
- Nanjappa Shivashankar's practice location on file with NPPES is 12421 San Jose Blvd Ste 2a, Jacksonville, FL 32223-8663.
- What is Nanjappa Shivashankar's phone number?
- The practice phone number listed in the NPPES registry for Nanjappa Shivashankar is (904) 268-7552.
- Is Nanjappa Shivashankar's NPI active?
- Yes — Nanjappa Shivashankar's NPI (1093854168) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.