Organization Active NPI

Still Waters Dentistry Palm Harbor, PLLC

  • Dental Clinic/Center
  • Palm Harbor, FL
National Provider Identifier
1285447516
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
STILL WATERS DENTISTRY PALM HARBOR, PLLC
Practice address
31980 US 19 N
Palm Harbor, FL 34684-3730
Phone
(727) 772-1120
NPI assigned
Jan 30, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Authorized official

Name
Dr. Jamelyn Goodpaster
Title
Dentist
Phone
(317) 847-9782

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

31980 US 19 N
Palm Harbor, FL 34684-3730

Mailing address

31980 US 19 N
Palm Harbor, FL 34684-3730
Phone (727) 772-1120

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1738195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738195200000",
    "number": "1285447516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31980 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843730",
            "telephone_number": "727-772-1120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31980 US 19 N",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346843730",
            "telephone_number": "727-772-1120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STILL WATERS DENTISTRY PALM HARBOR, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-30",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A",
        "authorized_official_last_name": "GOODPASTER",
        "authorized_official_first_name": "JAMELYN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "317-847-9782",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Harbor, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; 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.