Organization Active NPI

Simonsmiles, P.a.

  • Dental Clinic/Center
  • Tampa, FL
National Provider Identifier
1841855566
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SIMONSMILES, P.A.
Doing business as
Playa Family Dentistry
Practice address
4340 W Hillsborough Ave Ste 702
Tampa, FL 33614-5560
Phone
(954) 562-2844
NPI assigned
May 8, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Authorized official

Name
Dr. Keith C Simon, DMDNPI 1457748154
Title
Owner/General Dentist
Phone
(954) 562-2844

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

4340 W Hillsborough Ave Ste 702
Tampa, FL 33614-5560

Mailing address

4340 W Hillsborough Ave Ste 702
Tampa, FL 33614-5560
Phone (954) 562-2844

Other names 1

  • Playa Family Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

4340 W Hillsborough Ave
Ste 702
Tampa, FL 33614
Phone (813) 445-3240

Practitioners & affiliated clinicians

Practitioners 1

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": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628640000000",
    "number": "1841855566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 W HILLSBOROUGH AVE STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145560",
            "telephone_number": "954-562-2844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 W HILLSBOROUGH AVE STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336145560",
            "telephone_number": "954-562-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMONSMILES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A",
        "authorized_official_last_name": "SIMON",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER/GENERAL DENTIST",
        "authorized_official_telephone_number": "954-562-2844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Playa Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Playa Family Dentistry",
            "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 11, 2021; 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.