NPIMap

Organization Active NPI

Golbarg D. Smith DMD PA

  • General Practice Dentistry
  • St Petersburg, FL
National Provider Identifier
1619182391
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13172 Issued in FL
Legal business name
GOLBARG D. SMITH DMD PA
Practice address
4000 5TH Ave N
St Petersburg, FL 33713-6302
Phone
(727) 323-3589
NPI assigned
May 14, 2007
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
Dr. Golbarg Dehkordi Smith, DMDNPI 1891714598
Title
Owner
Phone
(727) 323-3589

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 13172 FL Primary

Addresses

Primary practice location

4000 5TH Ave N
St Petersburg, FL 33713-6302

Mailing address

4000 5TH Ave N
St Petersburg, FL 33713-6302

National Provider Directory

National Provider Directory

Locations

4000 5th Ave N
St Petersburg, FL 33713
Phone (727) 323-3589

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1619182391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 5TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337136302",
            "telephone_number": "727-323-3589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLBARG D. SMITH DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GOLBARG",
        "authorized_official_middle_name": "DEHKORDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-323-3589",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "13172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, 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.