Organization Active NPI

The Tooth Doctor

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1225432214
Registry record updated Jun 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18604 Issued in FL
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2015

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

Authorized official

Name
Claudia Martinez, DMD, MPHNPI 1780826487
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000975600MedicaidFL

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.