Organization Active NPI

Jennifer Roco Paulmino DDS Prof. Dental PA

  • General Practice Dentistry
  • Largo, FL
National Provider Identifier
1376662197
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN15472 Issued in FL
Legal business name
JENNIFER ROCO PAULMINO DDS PROF. DENTAL PA
Practice address
10333 Seminole Blvd
Ste 7
Largo, FL 33778-4210
Phone
(727) 320-8831
Fax
(727) 320-8832
NPI assigned
Mar 29, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer R Paulmino, DDSNPI 1679692131
Title
Director
Phone
(727) 320-8831

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 DN15472 FL Primary

Addresses

Primary practice location

10333 Seminole Blvd
Ste 7
Largo, FL 33778-4210

Mailing address

10333 Seminole Blvd
Ste 7
Largo, FL 33778-4210
Phone (727) 320-8831

National Provider Directory

National Provider Directory
Tax ID family
Jennifer Roco Paulmino DDS Prof Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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, 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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376662197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD",
            "address_2": "STE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784210",
            "telephone_number": "727-320-8831",
            "fax_number": "727-320-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD",
            "address_2": "STE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337784210",
            "telephone_number": "727-320-8831",
            "fax_number": "727-320-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ROCO PAULMINO DDS PROF. DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULMINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "727-320-8831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.