NPIMap

Organization Active NPI

Children and Teen Ortho Group of Florida

Doing business as Palm Tree Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Palm Harbor, FL
National Provider Identifier
1164287116
Registry record updated May 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
Legal business name
CHILDREN AND TEEN ORTHO GROUP OF FLORIDA
Doing business as
Palm Tree Orthodontics
Practice address
31071 US Highway 19 N
Palm Harbor, FL 34684-4416
Phone
(727) 303-5483
NPI assigned
Feb 19, 2024
Last updated
May 21, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CHILDREN AND TEEN ORTHO GROUP OF FLORIDAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 21, 2026

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

Authorized official

Name
Brian Smith
Title
Chief Officer
Phone
(770) 231-5348

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X Primary

Addresses

Primary practice location

31071 US Highway 19 N
Palm Harbor, FL 34684-4416

Mailing address

2300 Lakeview Pkwy Ste 250
Alpharetta, GA 30009-3954
Phone (470) 207-3264

Other names 1

  • Palm Tree Orthodontics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children and Teen Ortho Group of Florida7 organizations share this tax ID, including this one
Part of
Children and Teen Ortho Group of Florida

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779321600000",
    "number": "1164287116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 LAKEVIEW PKWY STE 250",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093954",
            "telephone_number": "470-207-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31071 US HIGHWAY 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346844416",
            "telephone_number": "727-303-5483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN AND TEEN ORTHO GROUP OF FLORIDA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHILDREN AND TEEN ORTHO GROUP OF FLORIDA",
        "enumeration_date": "2024-02-19",
        "last_updated": "2026-05-21",
        "certification_date": "2026-05-21",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "CHIEF OFFICER",
        "authorized_official_telephone_number": "770-231-5348"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Tree Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2026; 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.