Kool Kidz Pediatric Dentistry

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

DN18794 Issued in FL

Legal business name

KOOL KIDZ PEDIATRIC DENTISTRY

Practice address

7712 W Waters Ave
Tampa, FL 33615-1813

Phone

(813) 885-4501

Fax

(813) 885-5410

NPI assigned

Mar 29, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Roxann Russell Aves, DDS

Title

Ped. Dentist/Managing Partner

Phone

(813) 885-4501

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1225327430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7712 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151813",
            "telephone_number": "813-885-4501",
            "fax_number": "813-885-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7712 W WATERS AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336151813",
            "telephone_number": "813-885-4501",
            "fax_number": "813-885-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOOL KIDZ PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "AVES",
        "authorized_official_first_name": "ROXANN",
        "authorized_official_middle_name": "RUSSELL",
        "authorized_official_title_or_position": "PED. DENTIST/MANAGING PARTNER",
        "authorized_official_telephone_number": "813-885-4501",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN18794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Demetrios Konstas, M.D.
• Mary Ann Konstas, ED.S., LMHC
• Natalia Louise Kontul, PA
• Jihye Koo, PH.D.
• Nahleh Koochak, DO
• Vicki Koonce
• Parichart Koonkitti, M.D.
• Morgan Koons
• David B Koontz, CRNA
• Loralee Koontz, PA

• Pediatric Dentistry in Tampa, FL
• Providers in Tampa, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.