Organization Active NPI

Jennifer Roco Paulmino DDS Prof Dental PA

  • Dentist
  • Largo, FL
National Provider Identifier
1609987817
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN15472 Issued in FL
Legal business name
JENNIFER ROCO PAULMINO DDS PROF DENTAL PA
Practice address
10333 Seminole Blvd Ste 7
Largo, FL 33778
Phone
(727) 320-8831
Fax
(727) 320-8832
NPI assigned
Aug 31, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Jennifer Roco Paulmino, DDSNPI 1679692131
Title
Director Dentist
Phone
(727) 320-8831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN15472 FL Primary

Addresses

Primary practice location

10333 Seminole Blvd Ste 7
Largo, FL 33778

Mailing address

10333 Seminole Blvd Ste 7
Largo, FL 33778
Phone (727) 320-8831

National Provider Directory

National Provider Directory
Tax ID family
Jennifer Roco Paulmino DDS Prof Dental PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10333 Seminole Blvd
Ste 7
Largo, FL 33778
Phone (727) 320-8831

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609987817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD STE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33778",
            "telephone_number": "727-320-8831",
            "fax_number": "727-320-8832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10333 SEMINOLE BLVD STE 7",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "33778",
            "telephone_number": "727-320-8831",
            "fax_number": "727-320-8832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER ROCO PAULMINO DDS PROF DENTAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAULMINO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "ROCO",
        "authorized_official_title_or_position": "DIRECTOR DENTIST",
        "authorized_official_telephone_number": "727-320-8831",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.