North Port Smiles LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

NORTH PORT SMILES LLC

Doing business as

North Port Smiles

Practice address

13801 Tamiami TRL Ste B
North Port, FL 34287-2017

Phone

(941) 500-5812

NPI assigned

Jul 24, 2019

Organization subpart

No

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

Authorized official

Name

Karissa Rottenberk

Title

Virtual Assistant

Phone

(941) 312-7647

Specialties & licenses 1

Addresses

Other names 1

• North Port Smiles Doing business as

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

{
    "created_epoch": "1563926400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563926400000",
    "number": "1205480696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13801 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872017",
            "telephone_number": "941-500-5812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 TAMIAMI TRL STE B",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342872017",
            "telephone_number": "941-500-5812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH PORT SMILES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-24",
        "last_updated": "2019-07-24",
        "status": "A",
        "authorized_official_last_name": "ROTTENBERK",
        "authorized_official_first_name": "KARISSA",
        "authorized_official_title_or_position": "VIRTUAL ASSISTANT",
        "authorized_official_telephone_number": "941-312-7647"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Port Smiles",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• North Port Podiatry Center PA (North Port & Englewood Podiarty)
• North Port Podiatry Center PA (North Port & Englewood Podiatry)
• North Port Primary Care Association PL
• North Port Rehab, LLC (North Port Rehabilitation and Nursing Center)
• North Port Retirement Center, Inc. (Gardens of North Port)
• North Port Womens Care LLC
• Northern Medical and Holistic Center Corp
• Northern Medical Center Inc
• Northern Medical Center PC
• Northport Emergency Associates, PA

• Dental Clinic/Center in North Port, FL
• Providers in North Port, 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 Jul 24, 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.