Active NPI
Big Smiles Florida, P.a.
- Dentist
- Orlando, FL
National Provider Identifier
1013752690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- BIG SMILES FLORIDA, P.A.
- Practice address
- 122 W Pine St Ste 300
Orlando, FL 32801-2649 - Phone
- (888) 833-8441
- Fax
- (888) 373-9612
- NPI assigned
- Jun 26, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paul Spurgeon
- Title
- Credentialing Supervisor
- Phone
- (888) 833-8441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
122 W Pine St Ste 300
Orlando, FL 32801-2649
Mailing address
PO Box 41130
Phoenix, AZ 85080-1130
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719360000000",
"number": "1013752690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 41130",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850801130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 W PINE ST STE 300",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328012649",
"telephone_number": "888-833-8441",
"fax_number": "888-373-9612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIG SMILES FLORIDA, P.A.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A",
"authorized_official_last_name": "SPURGEON",
"authorized_official_first_name": "PAUL",
"authorized_official_title_or_position": "CREDENTIALING SUPERVISOR",
"authorized_official_telephone_number": "888-833-8441"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.