Kerry Leonard Pazos, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN25573 Issued in FL

Practice address

137 Old Carriage Rd
Ponce Inlet, FL 32127-6909

Phone

(386) 212-1518

NPI assigned

Apr 7, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1326627092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 OLD CARRIAGE RD",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321276909",
            "telephone_number": "386-212-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 OLD CARRIAGE RD",
            "city": "PONCE INLET",
            "state": "FL",
            "postal_code": "321276909",
            "telephone_number": "386-212-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZOS",
        "first_name": "KERRY",
        "middle_name": "LEONARD",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-07",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN25573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Foster Kraljev, LCSW
• Deborah L Kramer, LMFT
• Arthur Lassee, LMT
• Kristi A Myers, CRNA
• Chris O'Brien, R PH
• Porter Pelvic Physical Therapy
• Jinny E Ruhlman
• Charles Edward Sternberg
• Malcolm D Weiss, D.O.
• Rebecca Elizabeth Wuamett

• General Practice Dentistry in Ponce Inlet, FL
• Providers in Ponce Inlet, 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 Apr 30, 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.

Verify at the official NPI Registry.