Codims of Tampa Bay LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

15074 Issued in FL

Legal business name

CODIMS OF TAMPA BAY LLC

Practice address

6515 Gunn Hwy
Tampa, FL 33625-4021

Phone

(813) 968-5400

Fax

(813) 968-4433

NPI assigned

Aug 7, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ernesto Valiente, DMDNPI 1487768792

Title

General Manager

Phone

(813) 968-5400

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.

• Ernesto Valiente, DMD

  • Oral and Maxillofacial Surgery (Dentist)
  • Tampa, FL
  • NPI 1487768792
  NPD (past) Authorized official

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1932390697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6515 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-5400",
            "fax_number": "813-968-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 GUNN HWY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336254021",
            "telephone_number": "813-968-5400",
            "fax_number": "813-968-4433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CODIMS OF TAMPA BAY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "VALIENTE",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "813-968-5400",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "FL",
            "license": "15074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Coburn
• Kimberly Keen Coca, MD
• Elizabeth Joy Cochran
• Cheryl Anne Cockram, PHD.,ARNP
• Erin Marie Cockrell, D.O.
• Corine C Codner, BA
• Joseph Spencer Cody, MD
• Brian Scott Coe, MD
• Joanne Belliotti Coe, ARNP
• Natalie Coe

• 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 Aug 20, 2014; 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.