Organization Active NPI

Lil' Teeth by Oloph PLLC

  • General Practice Dentistry
  • Spring Hill, FL
National Provider Identifier
1528527504
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
LIL' TEETH BY OLOPH PLLC
Practice address
17040 Ayers Rd
Spring Hill, FL 34604-6806
Phone
(352) 593-0545
Fax
(844) 290-8521
NPI assigned
Mar 18, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Authorized official

Name
Dr. Madeline D Berk, DMDNPI 1588623094
Title
Manager
Phone
(352) 537-5027

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

17040 Ayers Rd
Spring Hill, FL 34604-6806

Mailing address

17040 Ayers Rd
Spring Hill, FL 34604-6806
Phone (352) 593-0545

National Provider Directory

National Provider Directory

Locations

17040 Ayers Rd
Spring Hill, FL 34604
Phone (352) 537-5027

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": "1552867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552867200000",
    "number": "1528527504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17040 AYERS RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346046806",
            "telephone_number": "352-593-0545",
            "fax_number": "844-290-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17040 AYERS RD",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346046806",
            "telephone_number": "352-593-0545",
            "fax_number": "844-290-8521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIL' TEETH BY OLOPH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-18",
        "last_updated": "2019-03-18",
        "status": "A",
        "authorized_official_last_name": "BERK",
        "authorized_official_first_name": "MADELINE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "352-537-5027",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "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 Spring Hill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.