Complete Dental Care PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN0012708 Issued in FL

Legal business name

COMPLETE DENTAL CARE PA

Practice address

11213 N Nebraska Ave
Suite 406C
Tampa, FL 33612-5775

Phone

(813) 977-4819

Fax

(813) 977-4568

NPI assigned

Sep 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kimberly Louise Hannah-Jones, DMDNPI 1881938850

Title

President

Phone

(813) 977-4819

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Kimberly L Hannah-Jones, D.M.D.

  • Dentist
  • Tampa, FL
  • NPI 1881938850
  NPD (past) Authorized official

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352678400000",
    "number": "1124122569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11213 N NEBRASKA AVE",
            "address_2": "SUITE 406C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125775",
            "telephone_number": "813-977-4819",
            "fax_number": "813-977-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11213 N NEBRASKA AVE",
            "address_2": "SUITE 406C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336125775",
            "telephone_number": "813-977-4819",
            "fax_number": "813-977-4568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE DENTAL CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-11-12",
        "status": "A",
        "authorized_official_last_name": "HANNAH-JONES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-977-4819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN0012708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "073523001",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Compassionate Partners Corporation
• Compassionrx Health & Wellness, PLLC
• Competitive Edge Performance Inc
• Compex Solutions, Inc.
• Complete Chiropractic Healthcare, LLC
• Complete Home Care of Tampa LLC
• Complete Integrative Medical Clinic, LLC.
• Complete Medical Therapy Services, Inc
• Complete Primary/Urgent Care LLC
• Comprehensive Behavioral Care, Inc.

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2012; 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.