Organization Active NPI

Big Smiles Florida, P.a.

  • Dentist
  • Orlando, FL
National Provider Identifier
1013752690
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
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

Updated by the provider on Jun 26, 2024

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)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.