Smiles by Design

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

8609 Issued in FL

Legal business name

SMILES BY DESIGN

Practice address

1779 S Pinellas Ave
Ste 100
Tarpon Springs, FL 34689-1920

Phone

(727) 940-6808

Fax

(727) 940-6669

NPI assigned

Mar 20, 2017

Last updated

Mar 20, 2017By 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

Dr. Michael Charles Sampson, D.M.D.

Title

Owner/Dentist

Phone

(727) 940-6808

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1489968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489968000000",
    "number": "1114468394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1779 S PINELLAS AVE",
            "address_2": "STE 100",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891920",
            "telephone_number": "727-940-6808",
            "fax_number": "727-940-6669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1779 S PINELLAS AVE",
            "address_2": "STE 100",
            "city": "TARPON SPRINGS",
            "state": "FL",
            "postal_code": "346891920",
            "telephone_number": "727-940-6808",
            "fax_number": "727-940-6669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES BY DESIGN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-20",
        "last_updated": "2017-03-20",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "727-940-6808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "8609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michele L Shutt-Paez, DC
• Laurel Simons, MSN, RN, CWON
• Simply Me, LLC
• Nirmala Sivaprakasapillai, MD
• Skycare Global LLC
• Jeffrey B Smith, M.D.
• Kathlyn Glenn Smith, COTA/L
• Matthew Wayne Smith, D.O.
• Sarah C Smith, DO
• Sarah Marie Smith, DMD

• Dental Clinic/Center in Tarpon Springs, FL
• Providers in Tarpon Springs, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2017; 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.