NPIMap

Organization Active NPI

I Smile Signature Dentistry

  • Dentist
  • Largo, FL
National Provider Identifier
1750633673
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN18338 Issued in FL
Legal business name
I SMILE SIGNATURE DENTISTRY
Practice address
1601 E Bay Dr
Suite 1
Largo, FL 33771-5616
Phone
(727) 585-5675
Fax
(727) 588-0114
NPI assigned
Oct 3, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Shamsia Shafi, D.D.S.NPI 1215088141
Title
Dentist
Phone
(919) 412-1251

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
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X DN18338 FL Primary

Addresses

Primary practice location

1601 E Bay Dr
Suite 1
Largo, FL 33771-5616

Mailing address

1601 E Bay Dr
Suite 1
Largo, FL 33771-5616
Phone (727) 585-5675

Other names 1

  • S. Shafi D.D.S. Doing business as

National Provider Directory

National Provider Directory

Locations

1601 E Bay Dr
Ste 1
Largo, FL 33771
Phone (727) 585-5675

Practitioners & affiliated clinicians

Practitioners 3

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": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1750633673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E BAY DR",
            "address_2": "SUITE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715616",
            "telephone_number": "727-585-5675",
            "fax_number": "727-588-0114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E BAY DR",
            "address_2": "SUITE 1",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337715616",
            "telephone_number": "727-585-5675",
            "fax_number": "727-588-0114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I SMILE SIGNATURE DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "SHAFI",
        "authorized_official_first_name": "SHAMSIA",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "919-412-1251",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN18338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "S. Shafi D.D.S.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2012; 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.