NPIMap

Organization Active NPI

Smiling Kidds Dentistry, P.a.

  • Pediatric Dentistry
  • Jacksonville, FL
National Provider Identifier
1720780299
Registry record updated Mar 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILING KIDDS DENTISTRY, P.A.
Practice address
7101 Normandy Blvd
Jacksonville, FL 32205-6211
Phone
(855) 974-5437
NPI assigned
Mar 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2023

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

Authorized official

Name
Lindsey Bohannon
Title
Credentialing Manager
Phone
(904) 395-7772

Specialties & licenses 1

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

Addresses

Primary practice location

7101 Normandy Blvd
Jacksonville, FL 32205-6211

Mailing address

3020 Hartley Rd Ste 210
Jacksonville, FL 32257-8206

National Provider Directory

National Provider Directory
Tax ID family
Smiling Kidds Dentistry PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

3020 Hartley Rd
Ste 210
Jacksonville, FL 32257
Phone (904) 395-4840

7101 Normandy Blvd
Jacksonville, FL 32205
Phone (904) 786-5850

NPI Registry JSON

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679270400000",
    "number": "1720780299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 HARTLEY RD STE 210",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 NORMANDY BLVD",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322056211",
            "telephone_number": "855-974-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING KIDDS DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-20",
        "last_updated": "2023-03-20",
        "certification_date": "2023-03-20",
        "status": "A",
        "authorized_official_last_name": "BOHANNON",
        "authorized_official_first_name": "LINDSEY",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "904-395-7772"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.