Active NPI
Valeria Kresevic, D.D.S.
- Dentist
- Wellington, FL
National Provider Identifier
1164528147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN29958
- Practice address
- 3240 Lago de Talavera
Wellington, FL 33467-1068 - Phone
- (585) 752-2996
- NPI assigned
- Sep 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN29958 | FL | Primary |
Addresses
Primary practice location
3240 Lago de Talavera
Wellington, FL 33467-1068
Mailing address
3240 Lago de Talavera
Wellington, FL 33467-1068
Phone (956) 686-8611
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 209480703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN29958 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patrick B. Wilcox D.D.S, Pediatric Dentistry | Dentist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Dentist
- Edinburg, TX
- NPI 1225360191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1164528147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3240 LAGO DE TALAVERA",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334671068",
"telephone_number": "956-686-8611",
"fax_number": "956-686-2668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3240 LAGO DE TALAVERA",
"city": "WELLINGTON",
"state": "FL",
"postal_code": "334671068",
"telephone_number": "585-752-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRESEVIC",
"first_name": "VALERIA",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-16",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN29958",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "209480703",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wellington, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.