The Dental Walk-in Clinic of Tampa Bay

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15675 Issued in FL

Legal business name

THE DENTAL WALK-IN CLINIC OF TAMPA BAY

Practice address

4240 W Kennedy Blvd
Tampa, FL 33609-2231

Phone

(813) 636-9400

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alan P Holmes

Title

Operations Manager

Phone

(813) 636-9400

Specialties & licenses 1

Addresses

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Russell Holmes, DMD, PA

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1295044071
  NPD (past)
• Joseph Anthony Sorrentino II, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1659789600
  NPD (past)
• Miseanne Nguyen Tang, DMD

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1780250589
  NPD (past)
• Krunal Pachigar, DMD

  • Student in an Organized Health Care Education/Training Program
  • Cincinnati, OH
  • NPI 1508410507

  General Practice

  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1083871446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4240 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092231",
            "telephone_number": "813-636-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4240 W KENNEDY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336092231",
            "telephone_number": "813-636-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DENTAL WALK-IN CLINIC OF TAMPA BAY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "813-636-9400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Clinicians, LLC (BeeperMD Primary Care)
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• The Curious Cat Therapy
• The D1V1N3 LLC
• The Diversity Initiative
• The Elk Institute
• The Family Enrichment Center, Inc. (Caring Heart Assisted Living Facility)
• The Family Enrichment Center, Inc.
• The Family Enrichment Center, Inc.

• General Practice Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.