Tampa Bay Smiles, Inc.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TAMPA BAY SMILES, INC.

Practice address

5438 Land O Lakes Blvd
Land O Lakes, FL 34639-3413

Phone

(813) 929-0996

Fax

(813) 929-0996

NPI assigned

May 17, 2023

Last updated

May 17, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Jason M Moore, D.M.D.NPI 1518987254

Title

President

Phone

(813) 857-8696

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jason Michael Moore, D.M.D.

  • General Practice Dentistry
  • Tampa, FL
  • NPI 1518987254
  NPD Authorized official

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684281600000",
    "number": "1609567056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 MERRY WATER DR",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335484810",
            "telephone_number": "813-857-8696",
            "fax_number": "813-929-0996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5438 LAND O LAKES BLVD",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346393413",
            "telephone_number": "813-929-0996",
            "fax_number": "813-929-0996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMPA BAY SMILES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-857-8696",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Niroo Balram Talwar, M.D.
• Vonica Ervin Tamney
• Tampa Bay ABA LLC
• Tampa Bay First Assist
• Tampa Bay Institute for Psychological and Behavioral Health, P.a.
• Tampa Christian Counseling LLC
• Tampa Wound Care Medical
• Lenetta Taylor, PMHNP-BC
• Tanisha Olivia Taylor, RMHCI
• TBC Rehab Inc.

• Dentist in Land O' Lakes, FL
• Providers in Land O' Lakes, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; 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.