NPIMap

Organization Active NPI

Little Smiles Dental Office #2

  • Pediatric Dentistry
  • Pinecrest, FL
National Provider Identifier
1659616233
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN15894 Issued in FL
Legal business name
LITTLE SMILES DENTAL OFFICE #2
Practice address
10205 South Dixie Highway Suite 200/201
Pinecrest, FL 33156
Phone
(305) 279-4312
Fax
(305) 596-6632
NPI assigned
Dec 7, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Mr. Bayardo Cortes, DMD.
Title
Dr Owner
Phone
(305) 279-4312

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0221X DN15894 FL Primary

Addresses

Primary practice location

10205 South Dixie Highway Suite 200/201
Pinecrest, FL 33156

Mailing address

10205 South Dixie Highway Suite 200/201
Pinecrest, FL 33156
Phone (305) 279-4312

Other names 1

  • Tooth Fairy Land DBA Doing business as

National Provider Directory

National Provider Directory

Locations

10205 S Dixie Hwy
Ste 200201
Pinecrest, FL 33156
Phone (305) 279-4312

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1659616233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10205 SOUTH DIXIE HIGHWAY SUITE 200/201",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-279-4312",
            "fax_number": "305-596-6632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10205 SOUTH DIXIE HIGHWAY SUITE 200/201",
            "city": "PINECREST",
            "state": "FL",
            "postal_code": "33156",
            "telephone_number": "305-279-4312",
            "fax_number": "305-596-6632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LITTLE SMILES DENTAL OFFICE #2",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-07",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "CORTES",
        "authorized_official_first_name": "BAYARDO",
        "authorized_official_title_or_position": "DR OWNER",
        "authorized_official_telephone_number": "305-279-4312",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN15894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tooth Fairy Land DBA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pinecrest, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.