Ivan Negron, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN 14904 Issued in FL

Practice address

1022 W State Road 436
Suite 1008
Altamonte Springs, FL 32714-2900

Phone

(407) 774-6622

Fax

(407) 774-5750

NPI assigned

Apr 4, 2007

Sex

Male

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

State licenses

Practice roles

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.

• Comfortable Care Dental Health Professionals, PA

  dba Lakeside Family Dentistry

  • General Practice Dentistry
  • Apopka, FL
  • NPI 1417169285
  NPD (past)

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225150097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 W STATE ROAD 436",
            "address_2": "SUITE 1008",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142900",
            "telephone_number": "407-774-6622",
            "fax_number": "407-774-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 W STATE ROAD 436",
            "address_2": "SUITE 1008",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142900",
            "telephone_number": "407-774-6622",
            "fax_number": "407-774-5750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "IVAN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 14904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bernadette Nazario-Lopez, M.D., PHARM.D.
• Kathlyn Neal, LICSW
• Sonja Neal
• Jacqueline M Neff, PTA
• Amy Negron, BA
• Stephen L. Nelson, DMD
• Vamsi Krishna Neppalli, R.PH
• Network Chiropractic Ubo
• Neurologix Diagnostic Services, LLC
• Neurology of Central Florida

• Dentist in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.