Organization Active NPI

Impressive Smiles Tampa LLC

  • General Practice Dentistry
  • Tampa, FL
National Provider Identifier
1467113175
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IMPRESSIVE SMILES TAMPA LLC
Practice address
14017 N Dale Mabry Hwy
Tampa, FL 33618-2401
Phone
(813) 962-8888
NPI assigned
Jan 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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

Authorized official

Name
Dr. Rachael Phillips Yopp, DDSNPI 1144636788
Title
Partner/ Owner
Phone
(813) 962-8888

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 DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

14017 N Dale Mabry Hwy
Tampa, FL 33618-2401

Mailing address

310 E Highland Dr
Lakeland, FL 33813-1727
Phone (813) 484-8658

National Provider Directory

National Provider Directory

Locations

310 E Highland Dr
Lakeland, FL 33813
Phone (863) 646-8511

14017 N Dale Mabry Hwy
Tampa, FL 33618
Phone (813) 962-8888

Practitioners & affiliated clinicians

Practitioners 2

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": "1641340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641340800000",
    "number": "1467113175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E HIGHLAND DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131727",
            "telephone_number": "813-484-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14017 N DALE MABRY HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182401",
            "telephone_number": "813-962-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPRESSIVE SMILES TAMPA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-05",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A",
        "authorized_official_last_name": "YOPP",
        "authorized_official_first_name": "RACHAEL",
        "authorized_official_middle_name": "PHILLIPS",
        "authorized_official_title_or_position": "PARTNER/ OWNER",
        "authorized_official_telephone_number": "813-962-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.