Nelly Roberta Unger

Primary specialty

DentistTaxonomy code 122300000X

License

DN24845 Issued in FL

Practice address

1345 W Granada Blvd Unit 9
Ormond Beach, FL 32174-8191

Phone

(386) 672-8175

NPI assigned

May 22, 2020

Last updated

May 22, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialty

Dentist

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

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.

• Central Florida Family Health Center, Inc.

  dba True Health

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1740251883
  Medicare reassignment
• Comfortable Care Dental Health Professionals

  dba Tomoka Famly Dentistry

  • General Practice Dentistry
  • Ormond Beach, FL
  • NPI 1669793790
  NPD (past)

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

{
    "created_epoch": "1590105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590105600000",
    "number": "1174146260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 W GRANADA BLVD UNIT 9",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748191",
            "telephone_number": "386-672-8175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 W GRANADA BLVD UNIT 9",
            "city": "ORMOND BEACH",
            "state": "FL",
            "postal_code": "321748191",
            "telephone_number": "386-672-8175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGER",
        "first_name": "NELLY",
        "middle_name": "ROBERTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-22",
        "last_updated": "2020-05-22",
        "certification_date": "2020-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN24845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Renee Tucker, APRN
• Mya Elizabeth Tucker
• John Boyd Turner, MD
• Ultimate Thinking Psychological Consultants, PA
• Umbrella Speech Services
• United of Ormond Beach Inc
• Upperline Healthcare, PC
• Upperline Healthcare, PC
• V John D Souza MD SC
• James Valcarcel, DC

• Dentist in Ormond Beach, FL
• Providers in Ormond Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.