Active NPI
Belleair Smiles
- Dentist
- Clearwater, FL
National Provider Identifier
1548865447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 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 DirectoryLocations
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.