Organization Active NPI

Belleair Smiles

  • Dentist
  • Clearwater, FL
National Provider Identifier
1548865447
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BELLEAIR SMILES
Practice address
1180 Ponce de Leon Blvd Ste 801B
Clearwater, FL 33756-1031
Phone
(727) 386-5107
Fax
(727) 386-5917
NPI assigned
Dec 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mr. Jeffrey Clement Ferrara Jr.
Title
Manager
Phone
(727) 386-5107

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

1180 Ponce de Leon Blvd Ste 801B
Clearwater, FL 33756-1031

Mailing address

1180 Ponce de Leon Blvd Ste 801B
Clearwater, FL 33756-1031
Phone (727) 386-5107

National Provider Directory

National Provider Directory

Locations

1180 Ponce de Leon Blvd
Ste 801B
Clearwater, FL 33756
Phone (727) 386-5107

NPI Registry JSON

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

{
    "created_epoch": "1606780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1548865447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD STE 801B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561031",
            "telephone_number": "727-386-5107",
            "fax_number": "727-386-5917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1180 PONCE DE LEON BLVD STE 801B",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337561031",
            "telephone_number": "727-386-5107",
            "fax_number": "727-386-5917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEAIR SMILES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-01",
        "last_updated": "2020-12-01",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "CLEMENT",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "727-386-5107",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.