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
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, DDS
Title
Owner
Phone
(919) 321-7824

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X Primary
Dental Clinic/Center 261QD0000X

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
1932266210OtherDENTIST
1801413265OtherDENTIST

National Provider Directory

National Provider Directory

Locations

2112 SW 34th St
Gainesville, FL 32608

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": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1932266210",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "1801413265",
            "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.