NPIMap

Organization Active NPI

Smiling Kidds Dentistry, P.a.

  • Pediatric Dentistry
  • Jacksonville, FL
National Provider Identifier
1962000323
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
Legal business name
SMILING KIDDS DENTISTRY, P.A.
Practice address
3615 Dupont Ave Ste 200-400
Jacksonville, FL 32217-2790
Phone
(855) 974-5437
NPI assigned
Oct 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Mr. Andrew Weaver
Title
Credentialing Manager
Phone
(904) 395-7772

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223G0001X
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X Primary

Addresses

Primary practice location

3615 Dupont Ave Ste 200-400
Jacksonville, FL 32217-2790

Mailing address

3030 Hartley Rd Ste 310
Jacksonville, FL 32257-8213
Phone (904) 264-5437

Other names 1

  • Economy Dentistry for Children Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Smiling Kidds Dentistry PA8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 6

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": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1962000323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 HARTLEY RD STE 310",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322578213",
            "telephone_number": "904-264-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3615 DUPONT AVE STE 200-400",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322172790",
            "telephone_number": "855-974-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILING KIDDS DENTISTRY, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2025-09-02",
        "certification_date": "2024-11-05",
        "status": "A",
        "authorized_official_last_name": "WEAVER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "904-395-7772",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Economy Dentistry for Children",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.