Rocky River Healthcare

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ROCKY RIVER HEALTHCARE

Doing business as

Carrollwood Smiles

Practice address

3401 W Fletcher Ave Ste a
Tampa, FL 33618-2813

Phone

(813) 269-4000

Fax

(813) 269-4001

NPI assigned

Oct 1, 2018

Last updated

Oct 1, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sylvia Miller

Title

Insurance Coordinator

Phone

(813) 269-4000

Specialties & licenses 1

Addresses

Other names 1

• Carrollwood Smiles Doing business as

Locations

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

{
    "created_epoch": "1538352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538352000000",
    "number": "1184109688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3401 W FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182813",
            "telephone_number": "813-269-4000",
            "fax_number": "813-269-4001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3401 W FLETCHER AVE STE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182813",
            "telephone_number": "813-269-4000",
            "fax_number": "813-269-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKY RIVER HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-01",
        "last_updated": "2018-10-01",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "813-269-4000"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carrollwood Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Thomas Lynn Rockwell, DDS
• Rocky Creek Retirement Properties, Inc. (Advantage Home Care)
• Rocky Creek Retirement Properties, Inc. (Advantage Rehabilatation Services)
• Rocky Creek Retiremnt Properties, Inc.
• Rocky Mountain Holdings, LLC (Bayflite)
• Jerica Rode
• Jakia Rodgers
• Jennifer Kathleen Rodgers
• Alexa Lee Rodica, ARNP
• Ashley Rodiek

• 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 Oct 1, 2018; 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.