DR. NATALIA VALDERRAMA DOUGHERTY (NPI# 1275880742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275880742 |
| Entity Type | Individual |
| Full Name | DR. NATALIA VALDERRAMA DOUGHERTY |
| Credential | D.D.S. |
| Practice Address |
903 Jordan Blass Dr Ste 102 Melbourne FL 32940-1325 |
| Mailing Address |
976 Wildwood Dr Melbourne FL 32940-1506 |
| Practice Telephone | 3215444127 |
| Mailing Telephone | 9044347783 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2015-07-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
DN19651 | FL | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
DN19651 | FL | Dental Providers |
| Street Address |
903 JORDAN BLASS DR STE 102 |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940-1325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861877102 | Natalia Valderrama, Dds, Pa | Clinic/Center | 903 Jordan Blass Dr Ste 102, Melbourne, FL 32940-1325 | 2015-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093243917 | Stephen T. Ruso, D.d.s., M.s., P.l.l.c. | Dentist | 3760 N Wickham Rd Ste 1, Melbourne, FL 32935-2326 | 2017-05-23 |
| 1154614493 | Mark Stewart | Dentist | 22 Nelson Ave, Melbourne, FL 32935-6744 | 2011-05-19 |
| 1609091487 | Teresa K Brigance | Dentist | 3760 N Wickham Rd, #1, Melbourne, FL 32935 | 2007-04-16 |
| 1770612285 | Nageswara Rao Kopuri | Dentist | 2555 W New Haven Ave, Melbourne, FL 32904-3701 | 2007-03-02 |
| 1629617154 | Avanthi Kopuri, Dmd, Msd, Mha, Pllc | Dentist | 2555 W New Haven Ave, Melbourne, FL 32904-3701 | 2020-01-01 |
| 1699176990 | Avanthi Kopuri | Dentist | 2555 W New Haven Ave, Melbourne, FL 32904-3701 | 2014-09-06 |
| 1164856233 | Sleep Disorder Specialists Pllc | Dentist | 655 S Apollo Blvd, Suite 1, Melbourne, FL 32901-1485 | 2013-08-26 |
| 1982973939 | Chad R Reddick | Dentist | 22 Nelson Ave, Melbourne, FL 32935-6744 | 2011-12-20 |
| 1649309071 | Avanthi Kopuri, Dmd, Msd, Mha, Pllc | Dentist | 2555 W New Haven Ave, Melbourne, FL 32904-3701 | 2007-03-02 |
| 1073607057 | Joe M Creel, Dds, Pa | Dentist | 100 W New Haven Ave, Melbourne, FL 32901-4303 | 2006-10-03 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.