Active NPI
The Tooth Doctor
- General Practice Dentistry
- Tampa, FL
National Provider Identifier
1225432214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN18604
- Legal business name
- THE TOOTH DOCTOR
- Practice address
- 4213 S Manhattan Ave
Tampa, FL 33611-1301 - Phone
- (321) 446-5047
- NPI assigned
- Oct 20, 2014
- Last updated
- Jun 25, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Claudia Martinez, DMD, MPH
- Title
- Dentist/President
- Phone
- (813) 605-2573
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN18604 | FL | Primary |
Addresses
Primary practice location
4213 S Manhattan Ave
Tampa, FL 33611-1301
Mailing address
4213 S Manhattan Ave
Tampa, FL 33611-1301
Phone (813) 605-2573
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000975600 | Medicaid | FL |
National Provider Directory
National Provider DirectoryLocations
4213 S Manhattan Ave
Tampa, FL 33611
Phone (321) 446-5047
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dentist
- Tampa, FL
- NPI 1780826487
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435190400000",
"number": "1225432214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111301",
"telephone_number": "813-605-2573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4213 S MANHATTAN AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336111301",
"telephone_number": "321-446-5047"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE TOOTH DOCTOR",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-20",
"last_updated": "2015-06-25",
"status": "A",
"authorized_official_last_name": "MARTINEZ",
"authorized_official_first_name": "CLAUDIA",
"authorized_official_title_or_position": "DENTIST/PRESIDENT",
"authorized_official_telephone_number": "813-605-2573",
"authorized_official_credential": "DMD, MPH"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN18604",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000975600",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tampa, FL
- The Serviam Group LLC
- The Spring
- The Spring of Tampa Bay
- The Sunshine Nutrition Group LLC
- The Surgery Center at TGH Brandon Healthplex LLC
- The University of South Florida Board of Trustees (USFCollege of Nursing Port of Tampa Seafarers Ctr Clinic)
- The University of Tampa, Incorporated (University of Tampa Athletics)
- The Villas of Tampa LLC
- The Wave International LLC
- The Way of God Ministries (Behavioral & Educational Services & Treatment)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.