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Dr. Jhon Ceballos , DDS

Dentist - General Practice β€’ Jacksonville, FL

Active NPI 1033894662 Individual Practitioner Male Practitioner
Practice location in NPPES

5753 Beach Blvd Ste 4
Jacksonville, FL 322075128

Call 3528096294 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5753 Beach Blvd Ste 4

Jacksonville, FL 322075128

Telephone 3528096294
Other Listings in Public Data

NPPES lists 1 additional practice-address record in Jacksonville, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2023

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Ceballos has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Ceballos as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Jacksonville and Florida

351 active clinicians are listed under Dentist - General Practice with a practice address in Jacksonville, FL (7,118 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Jacksonville

0% of these 351 clinicians have the CMS telehealth indicator.

0% of these 351 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-08-08
Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

License # reported to NPPES FL DN31600

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20260529001031

Enrollment State Jurisdiction

MA

PECOS Control ID

2466922513

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

7807 Baymeadows Rd E Ste 304

Jacksonville, FL 322569667

Phone: 9048542300

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Dr. Lucienne Park , DMD

Dentist - General Practice

NPI 1497323315

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

10 Historical Events
πŸ“
Updated Practice Location August 08, 2026

Registered at 5753 BEACH BLVD STE 4, JACKSONVILLE, FL 322075128 (Tel: 3528096294)

πŸ“
Updated Business Mailing Address August 08, 2026

Registered at 4450 TROPEA WAY UNIT 3418, JACKSONVILLE, FL 322468893

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2026

Dentist (license number reported to NPPES: FL DN31600)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2023

Dentist (license number reported to NPPES: MA DL15752)

βœ…
NPI Profile Active June 21, 2023

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) June 21, 2023

Registered at 119 WINDSOR ST, CAMBRIDGE, MA 021393647 (Tel: 6176653990)

πŸ“
Business Mailing Address (Initial Record) June 21, 2023

Registered at 399 CONGRESS ST APT 404, BOSTON, MA 022102574 (Tel: 3057487703)

πŸ‘€
Provider Name / Credentials (Initial Record) June 21, 2023

Recorded as JHON CEBALLOS, DDS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2023

Dental Assistant (license number reported to NPPES: MA DA11222)

🟒
Initial NPI Registration & Enumeration June 20, 2023

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1033894662
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 20, 2023
Last Update: August 08, 2026
Sole Proprietor: Yes

Other Dentist - General Practices in Jacksonville

All Dentist - General Practices in Jacksonville

Mailing Address

4450 Tropea Way Unit 3418

Jacksonville, FL 322468893

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.