Organization Active NPI

Smile So Big LLC

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1750158879
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
SMILE SO BIG LLC
Practice address
7586 SW 61St Ave
Ocala, FL 34476-8310
Phone
(352) 484-0262
NPI assigned
Dec 8, 2023
Last updated
Dec 8, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Authorized official

Name
Dr. Jonathan Aalona Montoya, DDSNPI 1801413265
Title
Owner
Phone
(919) 321-7824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X
General Practice Dentistry 1223G0001X Primary

Addresses

Primary practice location

7586 SW 61St Ave
Ocala, FL 34476-8310

Mailing address

2112 SW 34TH St # 418
Gainesville, FL 32608-1204

Other identifiers 2

IdentifierTypeStateIssuer
1801413265OtherDENTIST
1932266210OtherDENTIST

National Provider Directory

National Provider Directory

Locations

2112 SW 34th St
Gainesville, FL 32608

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": "1701993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701993600000",
    "number": "1750158879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 SW 34TH ST # 418",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326081204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7586 SW 61ST AVE",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344768310",
            "telephone_number": "352-484-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SO BIG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-08",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "AALONA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-321-7824",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1801413265",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1932266210",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.