OrganizationActive
Reza Azari Samani, DDS PA
NPI 1114059201 · Prosthodontics · Jacksonville, FL
Reza Azari Samani, DDS PA is a Prosthodontics organization in Jacksonville, FL (NPI 1114059201).
Provider details
- NPI number
- 1114059201
- Entity type
- Organization
- Primary specialty
- ProsthodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Reza Samani, Owner(904) 992-8900
- License
- 12860 (FL)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(89/100 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
14453 Beach Blvd.
Suite 100
Jacksonville, FL 32250
Phone: (904) 992-8900
Fax: (904) 992-4922
Street-level locationGet directions
Mailing address
14453 Beach Blvd.
Jacksonville, FL 32250
Registry dates
- Enumerated
- 2007-03-12
- Last updated
- 2014-06-09
Frequently asked questions
- What is Reza Azari Samani, DDS PA's NPI number?
- Reza Azari Samani, DDS PA's National Provider Identifier (NPI) is 1114059201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reza Azari Samani, DDS PA?
- Reza Azari Samani, DDS PA is classified in the NPPES registry as Prosthodontics (Dental Providers).
- Where is Reza Azari Samani, DDS PA located?
- Reza Azari Samani, DDS PA's practice location on file with NPPES is 14453 Beach Blvd., Jacksonville, FL 32250.
- What is Reza Azari Samani, DDS PA's phone number?
- The practice phone number listed in the NPPES registry for Reza Azari Samani, DDS PA is (904) 992-8900.
- Who is the authorized official for Reza Azari Samani, DDS PA?
- The authorized official listed on Reza Azari Samani, DDS PA's NPPES record is Reza Samani, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reza Azari Samani, DDS PA's NPI active?
- Yes — Reza Azari Samani, DDS PA's NPI (1114059201) is active in the NPPES registry as of the last update on 2014-06-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.