Organization Active NPI

Toothasaurus Childrens Dentisrty

Doing business as Toothasaurus Childrens Dentistry

  • Pediatric Dentistry
  • Wesley Chapel, FL
National Provider Identifier
1841925526
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
TOOTHASAURUS CHILDRENS DENTISRTY
Doing business as
Toothasaurus Childrens Dentistry
Practice address
5256 Village Market
Wesley Chapel, FL 33544-8400
Phone
(813) 907-3100
Fax
(813) 907-3110
NPI assigned
Jul 18, 2022
Last updated
Aug 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Authorized official

Name
Dr. Tierney Pettinato, DMDNPI 1346303948
Title
Dentist
Phone
(813) 778-3140

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
Pediatric Dentistry 1223P0221X NU Primary

Addresses

Primary practice location

5256 Village Market
Wesley Chapel, FL 33544-8400

Mailing address

5256 Village Market
Wesley Chapel, FL 33544-8400
Phone (813) 907-3100

Other identifiers 3

IdentifierTypeStateIssuer
1629131230OtherFLNPI #
1346303948OtherFLNPI #
1912921867OtherFLNPI#

Other names 1

  • Toothasaurus Childrens Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

5256 Village Market
Wesley Chapel, FL 33544
Phone (813) 907-3100

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": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1841925526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5256 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448400",
            "telephone_number": "813-907-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5256 VILLAGE MARKET",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448400",
            "telephone_number": "813-907-3100",
            "fax_number": "813-907-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOOTHASAURUS CHILDRENS DENTISRTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "PETTINATO",
        "authorized_official_first_name": "TIERNEY",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "813-778-3140",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1629131230",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1346303948",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1912921867",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toothasaurus Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Toothasaurus Childrens Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.