Brandon Smiles,LLC

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

BRANDON SMILES,LLC

Practice address

926 W Lumsden Rd
Brandon, FL 33511-6281

Phone

(813) 438-8728

Fax

(813) 438-8730

NPI assigned

Jun 18, 2015

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

DENTAL HEALTH EXPERT LLAs reported in NPPES

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

Authorized official

Name

Adriana Marcela Rodriguez

Title

Office Mananger

Phone

(813) 438-8728

Specialties & licenses 1

Addresses

Part of

Brandon Smiles LLC

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1578944286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "926 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116281",
            "telephone_number": "813-438-8728",
            "fax_number": "813-438-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "926 W LUMSDEN RD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335116281",
            "telephone_number": "813-438-8728",
            "fax_number": "813-438-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANDON SMILES,LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENTAL HEALTH EXPERT LL",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_middle_name": "MARCELA",
        "authorized_official_title_or_position": "OFFICE MANANGER",
        "authorized_official_telephone_number": "813-438-8728"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brandon Wellness Center LLC
• Brandon-Riverview Medical Associates PA

• Health Maintenance Organization in Brandon, FL
• Providers in Brandon, FL by specialty
• Health Maintenance Organization in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.