Tailyn Medina Suarez, DMD

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

26303 Issued in FL

Practice address

Hamlin Pediatric Dentistry
15415 Waterbird Rd Suite 100a
Winter Garden, FL 34787

Phone

(407) 395-2615

NPI assigned

Apr 27, 2021

Last updated

Aug 23, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hamlin Family Dentistry, Inc

  dba Hamlin Pediatric Dentistry

  • Pediatric Dentistry
  • Winter Garden, FL
  • NPI 1609646181
  NPD

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1265014310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1093 CALLE 15",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009275319",
            "telephone_number": "512-662-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HAMLIN PEDIATRIC DENTISTRY",
            "address_2": "15415 WATERBIRD RD SUITE 100A",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "34787",
            "telephone_number": "407-395-2615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Carr 188 # Int187",
            "address_purpose": "LOCATION",
            "city": "Loiza",
            "state": "PR",
            "postal_code": "007721850",
            "country_code": "US",
            "telephone_number": "787-876-2042",
            "fax_number": "787-876-2042",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5304 Station Pl",
            "address_purpose": "LOCATION",
            "city": "Cherry Hill",
            "state": "NJ",
            "postal_code": "080032351",
            "country_code": "US",
            "telephone_number": "512-662-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA SUAREZ",
        "first_name": "TAILYN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS043893",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "26303",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gemma McNeil
• Sara Michelle Meadows, APRN
• Erika Barbara Mederos Betancourt
• Medhealth Clinical Inc.
• Medical Home Alliance LLC (IMA Medical Group)
• Moraima Medina, MS
• Medlife Pharmacy LLC (wintergarden pharmacy)
• Medlife Pharmacy LLC
• Mehmood Nawab Inc
• Melann Trans LLC

• Pediatric Dentistry in Winter Garden, FL
• Providers in Winter Garden, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; 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.