NPIMap

Organization Active NPI

Community Smiles P.a.

  • Dental Clinic/Center
  • Tampa, FL
National Provider Identifier
1750863221
Registry record updated Aug 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DN20995 Issued in FL
Legal business name
COMMUNITY SMILES P.A.
Doing business as
Community Smiles P.A.
Practice address
14201 Bruce B Downs Blvd Ste 1
Tampa, FL 33613-3906
Phone
(813) 977-6962
NPI assigned
Aug 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2018

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

Authorized official

Name
Dr. Seng Kyu Choi
Title
Owner
Phone
(813) 977-6962

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DN20995 FL Primary

Addresses

Primary practice location

14201 Bruce B Downs Blvd Ste 1
Tampa, FL 33613-3906

Mailing address

14201 Bruce B Downs Blvd Ste 1
Tampa, FL 33613-3906
Phone (813) 977-6962

Other names 1

  • Community Smiles P.A. Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535673600000",
    "number": "1750863221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14201 BRUCE B DOWNS BLVD STE 1",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133906",
            "telephone_number": "813-977-6962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY SMILES P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A",
        "authorized_official_last_name": "CHOI",
        "authorized_official_first_name": "SENG KYU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-977-6962",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "DN20995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Smiles P.A.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.