Li'L Sunshine Smiles Dentistry P.a

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

LI'L SUNSHINE SMILES DENTISTRY P.A

Practice address

12950 Race Track Rd Ste 109
Tampa, FL 33626-1304

Phone

(719) 289-1799

NPI assigned

Aug 12, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Catalina Botero, DDSNPI 1659513380

Title

DDS/President

Phone

(719) 289-1799

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

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

• Catalina Botero, D.D.S.

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1659513380
  NPD Authorized official

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

{
    "created_epoch": "1565568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565568000000",
    "number": "1154977528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4904 EBENSBURG DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336471381",
            "telephone_number": "719-289-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12950 RACE TRACK RD STE 109",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336261304",
            "telephone_number": "719-289-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LI'L SUNSHINE SMILES DENTISTRY P.A",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-12",
        "last_updated": "2019-08-12",
        "status": "A",
        "authorized_official_last_name": "BOTERO",
        "authorized_official_first_name": "CATALINA",
        "authorized_official_title_or_position": "DDS/PRESIDENT",
        "authorized_official_telephone_number": "719-289-1799",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "023572000",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "Tampa",
            "affiliation": "N",
            "address_1": "12950 Race Track Rd Ste 109",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336261304",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Roberto Li
• Roger Li, M.D.
• Snow Pinxue Li, MD
• Yue Monica Li, MD
• Zhen Li, CRNA
• Timothy Seng Lian, M.D.
• Jenie Liang Jonas, PH.D.
• Brian Neil Liao
• A'Jiah Joah Lias
• Peter Vincent Libero, M.D.

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, 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 Aug 12, 2019; 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.