Individual provider Active NPI

Annie Smith, DMD

  • General Practice Dentistry
  • North Port, FL
National Provider Identifier
1598294753
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN22676 Issued in FL
Practice address
12497 South Tamiami Trail
Ste 2
North Port, FL 34287
Phone
(941) 240-0090
NPI assigned
Jun 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN22676 FL Primary

Addresses

Primary practice location

12497 South Tamiami Trail
Ste 2
North Port, FL 34287

Mailing address

12497 South Tamiami Trail
Ste 2
North Port, FL 34287
Phone (941) 240-0090

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN22676FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Coast Dental P.a. CurrentSince Feb 23, 2025 Accepting new patients
Coast Dental P.a. PastSince Feb 23, 2025 Accepting new patients
Wellen Family Dental Inc General Practice Past Accepting new patients

Locations

3466 Clark Rd
Ste 410
Sarasota, FL 34231
Phone (941) 927-1705

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773619200000",
    "number": "1598294753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12497 SOUTH TAMIAMI TRAIL",
            "address_2": "STE 2",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-240-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12497 SOUTH TAMIAMI TRAIL",
            "address_2": "STE 2",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "34287",
            "telephone_number": "941-240-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ANNIE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-09",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN22676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; 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.