Active NPI
Nak Tiny Teeth, PA
Doing business as Tiny Teeth of Tally
- Dental Clinic/Center
- Tallahassee, FL
National Provider Identifier
1497561468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- Legal business name
- NAK TINY TEETH, PA
- Doing business as
- Tiny Teeth of Tally
- Practice address
- 1614 W Plaza Dr
Tallahassee, FL 32308-5324 - Phone
- (850) 792-9100
- Fax
- (850) 378-5393
- NPI assigned
- Dec 5, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Beth Adams, RDH
- Title
- Executive Manager Accounts & Creden
- Phone
- (850) 879-3605
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Primary |
Addresses
Primary practice location
1614 W Plaza Dr
Tallahassee, FL 32308-5324
Mailing address
1614 W Plaza Dr
Tallahassee, FL 32308-5324
Phone (850) 792-9100
Other names 1
- TINY TEETH OF TALLY
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Dentist
- Tallahassee, FL
- NPI 1548646219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1733356800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733356800000",
"number": "1497561468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1614 W PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085324",
"telephone_number": "850-792-9100",
"fax_number": "850-378-5393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1614 W PLAZA DR",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323085324",
"telephone_number": "850-792-9100",
"fax_number": "850-378-5393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAK TINY TEETH, PA",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-05",
"last_updated": "2024-12-05",
"certification_date": "2024-12-03",
"status": "A",
"authorized_official_last_name": "ADAMS",
"authorized_official_first_name": "BETH",
"authorized_official_title_or_position": "EXECUTIVE MANAGER ACCOUNTS & CREDEN",
"authorized_official_telephone_number": "850-879-3605",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RDH"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TINY TEETH OF TALLY",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.