Josh Samuel DMD PA

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

Legal business name

JOSH SAMUEL DMD PA

Practice address

11201 Corporate Cir N Ste 160
St Petersburg, FL 33716-3701

Phone

(727) 577-4911

NPI assigned

May 6, 2025

Organization subpart

No

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

Authorized official

Name

Josh Samuel, DMDNPI 1992322044

Title

Ceo

Phone

(954) 817-5447

Specialties & licenses 1

Addresses

Other names 1

• SHINY HAPPY SMILES PEDIATRIC DENTISTRY Doing business as

Practitioners 1

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

• Josh Samuel, DMD

  • Pediatric Dentistry
  • St Petersburg, FL
  • NPI 1992322044
  NPD Authorized official

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

{
    "created_epoch": "1746489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746489600000",
    "number": "1386434124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1115 E TWIGGS ST UNIT 1416",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336023183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 CORPORATE CIR N STE 160",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337163701",
            "telephone_number": "727-577-4911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSH SAMUEL DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-06",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A",
        "authorized_official_last_name": "SAMUEL",
        "authorized_official_first_name": "JOSH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-817-5447",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHINY HAPPY SMILES PEDIATRIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Joseph a Boulay Jr MD PA
• Annie Joseph, MD
• Gerard Michael Joseph, BA
• Jasmyne Joseph, TCM
• Kaline Joseph
• Usha Joshi
• Heidi Joswig
• Michelle Dorothea Jourdan, D.C.
• Barbara Lynn Joustra, ARNP
• Luis Antonio Jovel, MD

• Pediatric Dentistry in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Pediatric Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.