Organization Active NPI

Emerald Dental Care

  • Dental Clinic/Center
  • Wesley Chapel, FL
National Provider Identifier
1710704648
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
EMERALD DENTAL CARE
Practice address
30752 Sr 54
Wesley Chapel, FL 33543-6009
Phone
(813) 364-0270
Fax
(813) 364-0271
NPI assigned
Sep 23, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Dr. Tasneem Chaballout, DDSNPI 1558717223
Title
Dentist
Phone
(813) 364-0270

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

30752 Sr 54
Wesley Chapel, FL 33543-6009

Mailing address

33739 Jasper Stone Dr
Wesley Chapel, FL 33543-7339
Phone (424) 421-9102

National Provider Directory

National Provider Directory

Locations

30752 Wesley Chapel Blvd
Wesley Chapel, FL 33543
Phone (813) 364-0270

Practitioners & affiliated clinicians

Practitioners 2

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": "1727049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1710704648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33739 JASPER STONE DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437339",
            "telephone_number": "424-421-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30752 SR 54",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335436009",
            "telephone_number": "813-364-0270",
            "fax_number": "813-364-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERALD DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-23",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "CHABALLOUT",
        "authorized_official_first_name": "TASNEEM",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-364-0270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.