DR. JOAN ACEVEDO (NPI# 1619969516) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619969516 |
| Entity Type | Individual |
| Full Name | DR. JOAN ACEVEDO |
| Credential | D |
| Practice Address |
105 N Doverplum Ave Kissimmee FL 34758-3309 |
| Mailing Address |
1875 Boggy Creek Rd Kissimmee FL 34744-4428 |
| Practice Telephone | 4079438600 |
| Practice Fax Number | 4079438625 |
| Mailing Telephone | 4073432000 |
| Mailing Fax Number | 4073432002 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2012-12-17 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
2015 | PR | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PR | IMC | 2678 | 01 |
| PR | BLUE CROSS | 041584 | 01 |
| PR | UTI | 206202 | 01 |
| PR | TSSS REFORMA | 41822 | 01 |
| ACMS | 80260 | 01 | |
| FL | 000898200 | 05 | |
| PR | HUMANA | 9600072 | 01 |
| PR | UNITED CONCORDIA | 740270 | 01 |
| Street Address |
105 N DOVERPLUM AVE |
| City | KISSIMMEE |
| State | FL |
| Zip Code | 34758-3309 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164777827 | Kimberly Lynn Acevedo | Nurse Practitioner | 105 N Doverplum Ave, Kissimmee, FL 34758-3309 | 2012-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417415308 | Michelle T Pickett | Home Health Aide | 260 Cranbrook Dr, Kissimmee, FL 34758 | 2019-03-09 |
| 1205359924 | Michelle Lee Piesbergen | Counselor | 909 Halifax Drive, Kissimmee, FL 34758 | 2017-07-25 |
| 1467827857 | Elina Cruz | Behavioral Analyst | 819 San Pedro, Kissimmee, FL 34758 | 2015-12-10 |
| 1710375456 | Primary Care Medical Services of Poinciana | Clinic/Center | 109 N Doverplum Ave, Kissimmee, FL 34758 | 2015-01-05 |
| 1194154054 | Purple Cactus, LLC | Community/Behavioral Health | 2515 Old Kent Circle, Kissimmee, FL 34758 | 2013-11-01 |
| 1205270683 | Deborah Kay Dziekiewicz | Respiratory Therapist, Registered | 4984 Bond St W, Kissimmee, FL 34758 | 2013-04-29 |
| 1912246786 | Poinciana Medical Center, Inc. | General Acute Care Hospital | 325 Cypress Parkway, Kissimmee, FL 34758 | 2013-02-13 |
| 1811947625 | Olga L Aponte | Registered Nurse | 105 N Doverplum, Poinciana, FL 34758 | 2006-05-11 |
| 1770549784 | Norma Sanchez Gonzalez | Personal Emergency Response Attendant | 51 N Doverplum Ave, Kissimmee, FL 34758 | 2006-04-26 |
| 1861919631 | Josette Telisier Altidor | Adult Companion | 541 Brentford Ct, Kissimmee, FL 34758 | 2017-08-23 |
| Find all providers in zip 34758 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003476623 | Vera Ton | Dentist | 312 W Bass St, Kissimmee, FL 34741-5001 | 2019-06-17 |
| 1366001471 | Ata Dental Kissimmee LLC | Dentist | 3192 S John Young Pkwy Ste B, Kissimmee, FL 34746-8814 | 2019-06-12 |
| 1891352159 | Sherin Thamarasseril | Dentist | 2310 E Irlo Bronson Memorial Hwy Ste C-106, Kissimmee, FL 34744-5401 | 2019-05-22 |
| 1427407634 | Ryan Priemer | Dentist | 1050 Buenaventura Blvd, Kissimmee, FL 34743-7865 | 2016-06-08 |
| 1861866782 | Margarita N Romero Quevedo | Dentist | 5043 W Irlo Bronson Memorial Hwy, Kissimmee, FL 34746-5345 | 2015-11-16 |
| 1275918005 | Charles H Burnes Iv | Dentist | 3304 Greenwald Way N, Kissimmee, FL 34741-0768 | 2015-07-22 |
| 1780958355 | Dr. Suraiya A.kasu Bds Pa | Dentist | 801 W Oak St Ste 102, Kissimmee, FL 34741-6605 | 2012-02-29 |
| 1811281710 | Juliana Correal | Dentist | 3233 S John Young Pkwy, Kissimmee, FL 34746-6543 | 2011-06-08 |
| 1962712182 | Economy Dentures of Kissimmee | Dentist | 1319 E Osceola Pkwy, C, Kissimmee, FL 34744-1605 | 2010-10-21 |
| 1790933554 | Sigma Dental of Kissimmee, LLC | Dentist | 2102 E Osceola Pkwy, Suites 2102-2104, Kissimmee, FL 34743-8630 | 2008-09-05 |
| Find all providers in KISSIMMEE | ||||
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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.