Organization Active NPI

Jaime Thony PA

Doing business as Greenleaf Dental

  • Dental Clinic/Center
  • Winter Springs, FL
National Provider Identifier
1043903842
Registry record updated Jul 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAIME THONY PA
Doing business as
Greenleaf Dental
Practice address
1450 Tuskawilla Rd Ste 116
Winter Springs, FL 32708-5204
Phone
(850) 459-5678
NPI assigned
May 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jaime Thony, DDSNPI 1487206561
Title
Owner Dentist
Phone
(850) 459-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1450 Tuskawilla Rd Ste 116
Winter Springs, FL 32708-5204

Mailing address

2770 Andes Way
Saint Cloud, FL 34769-5233
Phone (850) 459-5678

Other names 1

  • Greenleaf Dental Doing business as

National Provider Directory

National Provider Directory

Locations

1450 Tuskawilla Rd
Ste 116
Winter Springs, FL 32708
Phone (407) 699-0958

1450 Tuskawilla Rd
Ste 106
Winter Springs, FL 32708

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688169600000",
    "number": "1043903842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 ANDES WAY",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347695233",
            "telephone_number": "850-459-5678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 TUSKAWILLA RD STE 116",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327085204",
            "telephone_number": "850-459-5678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAIME THONY PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-07-01",
        "certification_date": "2023-07-01",
        "status": "A",
        "authorized_official_last_name": "THONY",
        "authorized_official_first_name": "JAIME",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "850-459-5678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenleaf Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Greenleaf Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2023; 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.