Organization Active NPI

Modiano Dental LLC

Doing business as Dental team Of Ocala Jasmine Park

  • Dental Clinic/Center
  • Ocala, FL
National Provider Identifier
1114809027
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
MODIANO DENTAL LLC
Doing business as
Dental team Of Ocala Jasmine Park
Practice address
7586 SW 61St Ave
Ocala, FL 34476-8310
Phone
(352) 840-7077
NPI assigned
Jul 22, 2025
Last updated
Jul 22, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2025

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

Authorized official

Name
Dr. Athanasios Kokkas, DDSNPI 1356452932
Title
Owner
Phone
(205) 999-9527

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

7586 SW 61St Ave
Ocala, FL 34476-8310

Mailing address

1123 SE 45TH St
Ocala, FL 34480-4701
Phone (352) 494-1153

Other names 1

  • Dental team Of Ocala Jasmine Park Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753142400000",
    "number": "1114809027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SE 45TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344804701",
            "telephone_number": "352-494-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 SW 61ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768310",
            "telephone_number": "352-840-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODIANO DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-22",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "KOKKAS",
        "authorized_official_first_name": "ATHANASIOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-999-9527",
        "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": "Dental team Of Ocala Jasmine Park",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2025; 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.