Ivette M. Fernandez, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15145 Issued in FL

Practice address

502 E Olympia Ave
Punta Gorda, FL 33950-3838

Phone

(941) 639-1124

Fax

(941) 639-6527

NPI assigned

Nov 17, 2014

Last updated

Jun 8, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivette M Fernandez DMD PA

  • Dental Clinic/Center
  • Punta Gorda, FL
  • NPI 1720098569
  NPD (past) Authorized official

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

{
    "created_epoch": "1416182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465344000000",
    "number": "1053717108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 E OLYMPIA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503838",
            "telephone_number": "941-639-1124",
            "fax_number": "941-639-6527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 E OLYMPIA AVE",
            "city": "PUNTA GORDA",
            "state": "FL",
            "postal_code": "339503838",
            "telephone_number": "941-639-1124",
            "fax_number": "941-639-6527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "IVETTE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-17",
        "last_updated": "2016-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keith Fendelander
• Thomas J Feneran, M.D.
• Luis Miguel Fernandez Araujo
• Yanalay Fernandez Olivero
• Maytee Fernandez Segares
• Kerry M Fichthorn, LCSW
• Christopher Michael Fink, A.T.C.
• Fitness Quest - Punta Gorda LLC
• Fitte Enterprises, Inc. (CRD Medservices, LLC.)
• Alexis Roman Fleites Dominguez, MD

• General Practice Dentistry in Punta Gorda, FL
• Providers in Punta Gorda, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.