Organization Active NPI

Joseph N Grimaudo DMD PL

  • General Practice Dentistry
  • Land O Lakes, FL
National Provider Identifier
1578847240
Registry record updated Sep 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
JOSEPH N GRIMAUDO DMD PL
Practice address
17200 Camelot CT
Land O Lakes, FL 34638-7202
Phone
(813) 345-8580
Fax
(813) 345-8581
NPI assigned
Sep 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2011

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

Authorized official

Name
Dr. Joseph N Grimaudo, DMD
Title
Owner
Phone
(813) 345-8580

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

17200 Camelot CT
Land O Lakes, FL 34638-7202

Mailing address

17200 Camelot CT
Land O Lakes, FL 34638-7202
Phone (813) 345-8580

Other names 1

  • All Smiles Tampa Bay Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1317254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317254400000",
    "number": "1578847240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17200 CAMELOT CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387202",
            "telephone_number": "813-345-8580",
            "fax_number": "813-345-8581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 CAMELOT CT",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346387202",
            "telephone_number": "813-345-8580",
            "fax_number": "813-345-8581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH N GRIMAUDO DMD PL",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-29",
        "last_updated": "2011-09-29",
        "status": "A",
        "authorized_official_last_name": "GRIMAUDO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-345-8580",
        "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": [
        {
            "organization_name": "All Smiles Tampa Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Land O Lakes, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2011; 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.