Sylmar Family Dental Practice Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

SYLMAR FAMILY DENTAL PRACTICE CORP

Practice address

15283 Amberly Dr
Tampa, FL 33647-2155

Phone

(813) 898-2523

NPI assigned

Jan 9, 2021

Organization subpart

No

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

Authorized official

Name

Alexis J Gutierrez Diaz, DDS

Title

President

Phone

(818) 384-4120

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexis Gutierrez, DDS

  • Dentist
  • Tampa, FL
  • NPI 1710025150
  NPD

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610150400000",
    "number": "1871181354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15283 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-898-2523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15283 AMBERLY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336472155",
            "telephone_number": "813-898-2523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLMAR FAMILY DENTAL PRACTICE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A",
        "authorized_official_last_name": "GUTIERREZ DIAZ",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-384-4120",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Misbahuddin Syed, M.D.
• Rashid Zaheer Syed, M.B;B.S., M.D.
• Sykes Enterprises Incorporated
• Sykes Enterprises, Inc
• Sykes Medical & Laboratory Solutions
• Samantha Sylvain, ARNP
• Allison Sylvester
• Kaylin Sylvester
• Bernice Sylvestre
• Sylvia D. Campbell, M.D., P.a.

• Dental Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Dental Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.