Smiles on 16TH PLLC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILES ON 16TH PLLC

Practice address

5200 16TH St N
St Petersburg, FL 33703-2612

Phone

(727) 522-9192

NPI assigned

Aug 30, 2022

Last updated

Aug 30, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Crouch

Title

VP

Phone

(321) 872-8820

Specialties & licenses 3

Addresses

Locations

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.

• James Robert Kosydar, DDS

  • General Practice Dentistry
  • St Petersburg, FL
  • NPI 1134201536
  NPD (past)

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

{
    "created_epoch": "1661817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661817600000",
    "number": "1295455210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 16TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337032612",
            "telephone_number": "727-522-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILES ON 16TH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-30",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A",
        "authorized_official_last_name": "CROUCH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "321-872-8820"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shiloh Suzan Smajstrla, MD
• Tangy Cherie Small, RN
• Ann Faye Smalley, APRN
• Jennifer L Smigiera, P.A.-C
• Smile Mission Saint Petersburg PLLC
• Alison Leana Smiley, CRNA
• Brenda Smith-Jones
• Aaron J Smith
• Alan Alford Smith, MD
• Allison Smith, BIRTH DOULA

• Dentist in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; 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.