NPIMap

Organization Active NPI

Tampa Bay Modern Day Smiles

Doing business as Modern Day Smiles

  • Dentist
  • Tampa, FL
National Provider Identifier
1184070658
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN19054 Issued in FL
Legal business name
TAMPA BAY MODERN DAY SMILES
Doing business as
Modern Day Smiles
Practice address
7002 Sheldon Rd
Tampa, FL 33615-2305
Phone
(813) 890-0044
Fax
(813) 884-6515
NPI assigned
May 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2016

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

Authorized official

Name
Remal Patel, DMDNPI 1003127960
Title
President
Phone
(727) 322-0505

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
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X DN19054 FL Primary

Addresses

Primary practice location

7002 Sheldon Rd
Tampa, FL 33615-2305

Mailing address

7002 Sheldon Rd
Tampa, FL 33615-2305
Phone (813) 890-0044

Other names 1

  • Modern Day Smiles Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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

NPI Registry JSON

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

{
    "created_epoch": "1463097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463097600000",
    "number": "1184070658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7002 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152305",
            "telephone_number": "813-890-0044",
            "fax_number": "813-884-6515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7002 SHELDON RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152305",
            "telephone_number": "813-890-0044",
            "fax_number": "813-884-6515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY MODERN DAY SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-13",
        "last_updated": "2016-05-13",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REMAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "727-322-0505",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN19054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Modern Day Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.