OrganizationActive
Bean Sprout Inc
NPI 1942698204 · Dental Clinic/Center · Jacksonville, FL
Bean Sprout Inc is a Dental Clinic/Center organization in Jacksonville, FL (NPI 1942698204).
Provider details
- NPI number
- 1942698204
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jodi Mason, Pediatric Dentist(904) 372-3260
- License
- 17658 (FL)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2008 Riverside Ave
Suite 101
Jacksonville, FL 32204-4443
Phone: (904) 372-3260
Fax: (904) 385-3704
Street-level locationGet directions
Mailing address
2008 Riverside Ave
Jacksonville, FL 32204-4443
Other names (DBA / former)
- Doing business as
- Bean Tree Pediatric Dentistry
Registry dates
- Enumerated
- 2015-01-08
- Last updated
- 2015-01-08
Frequently asked questions
- What is Bean Sprout Inc's NPI number?
- Bean Sprout Inc's National Provider Identifier (NPI) is 1942698204, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bean Sprout Inc?
- Bean Sprout Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Bean Sprout Inc located?
- Bean Sprout Inc's practice location on file with NPPES is 2008 Riverside Ave, Jacksonville, FL 32204-4443.
- What is Bean Sprout Inc's phone number?
- The practice phone number listed in the NPPES registry for Bean Sprout Inc is (904) 372-3260.
- Who is the authorized official for Bean Sprout Inc?
- The authorized official listed on Bean Sprout Inc's NPPES record is Jodi Mason, Pediatric Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bean Sprout Inc's NPI active?
- Yes — Bean Sprout Inc's NPI (1942698204) is active in the NPPES registry as of the last update on 2015-01-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.