Dentists at Big Bend, PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTISTS AT BIG BEND, PA

Practice address

7020 Big Bend Rd
Suite 105
Riverview, FL 33534

Phone

(813) 499-9204

NPI assigned

Aug 22, 2024

Organization subpart

No

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

Authorized official

Name

Sol Kim

Title

Owner

Phone

(714) 845-8500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Monica Abouelsaad, DMD

  • Dentist
  • Gibsonton, FL
  • NPI 1063302032
  NPD

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724284800000",
    "number": "1366275653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920050",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920050",
            "telephone_number": "714-845-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7020 BIG BEND RD",
            "address_2": "SUITE 105",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "33534",
            "telephone_number": "813-499-9204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTISTS AT BIG BEND, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SOL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-845-8500"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Demarco
• Zoe Tayler Demarest, MD
• Paul Isaac Demby, MD
• Susan Demuth, APRN
• Tara M Dennis, PHARMD
• Dentists of Riverview, PA (Dentists of Riverview)
• Leanne Kathryn Depa, OTR
• Kayla N Depanicis, PA-C
• Derek Espino, D.M.D. PA (Riverview Dental Arts)
• Derick Dermatology, PLLC

• General Practice Dentistry in Riverview, FL
• Providers in Riverview, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.