Organization Active NPI

Smile So Big First City LLC

  • Dental Clinic/Center
  • St Augustine, FL
National Provider Identifier
1881560274
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SMILE SO BIG FIRST CITY LLC
Practice address
10 Dolphin Dr
Saint Augustine, FL 32080-4531
Phone
(904) 824-8652
Fax
(904) 824-9169
NPI assigned
Oct 14, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Dr. Jonathan Montoya, DDS
Title
Owner/Dentist
Phone
(904) 824-8652

Specialties & licenses 1

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

Addresses

Primary practice location

10 Dolphin Dr
Saint Augustine, FL 32080-4531

Mailing address

10 Dolphin Dr
Saint Augustine, FL 32080-4531
Phone (904) 824-8652

National Provider Directory

National Provider Directory

Locations

10 Dolphin Dr
St Augustine, FL 32080
Phone (904) 824-8652

Practitioners & affiliated clinicians

Practitioners 3

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": "1760400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1881560274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 DOLPHIN DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804531",
            "telephone_number": "904-824-8652",
            "fax_number": "904-824-9169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 DOLPHIN DR",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320804531",
            "telephone_number": "904-824-8652",
            "fax_number": "904-824-9169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE SO BIG FIRST CITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-14",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MONTOYA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "904-824-8652",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; 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.