Organization Active NPI

Nak Tiny Teeth, PA

Doing business as Tiny Teeth of Tally

  • Dental Clinic/Center
  • Tallahassee, FL
National Provider Identifier
1497561468
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
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

Updated by the provider on Dec 5, 2024

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

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": "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.

Verify at the official NPI Registry.