Individual provider Active NPI

Donald B Cork Jr., DDS

  • General Practice Dentistry
  • Melbourne, FL
National Provider Identifier
1346322716
Registry record updated Aug 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26586 Issued in FL
Practice address
7500 Lake Andrew Dr Unit 102
Melbourne, FL 32940-8763
Phone
(321) 622-3033
NPI assigned
Oct 19, 2006
Last updated
Aug 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X M847 SD
General Practice Dentistry 1223G0001X DN26586 FL Primary

Addresses

Primary practice location

7500 Lake Andrew Dr Unit 102
Melbourne, FL 32940-8763

Mailing address

5185 Hebron Dr
Merritt Island, FL 32953-8157
Phone (712) 253-8417

Other practice location 1

141 Coconut Dr
Indialantic, FL 32903-2607
Phone (321) 777-6453

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

LicenseStateTypeSpecialty
DN26586FLMDGeneral Practice Dentistry
M847SDMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Dental of Viera, PLLC CurrentSince Nov 10, 2024 Accepting new patients
Dr. Ryan Collins, PLLC General Practice PastSince Sep 3, 2025 Accepting new patients
North Sioux Dental Clinic General Practice Past Accepting new patients

Locations

7500 Lake Andrew Dr
Unit 102
Melbourne, FL 32940
Phone (321) 622-3033

Networks

  • Freedom Health HMO Network

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755388800000",
    "number": "1346322716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5185 HEBRON DR",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329538157",
            "telephone_number": "712-253-8417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7500 LAKE ANDREW DR UNIT 102",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408763",
            "telephone_number": "321-622-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 Coconut Dr",
            "address_purpose": "LOCATION",
            "city": "Indialantic",
            "state": "FL",
            "postal_code": "329032607",
            "country_code": "US",
            "telephone_number": "321-777-6453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORK",
        "first_name": "DONALD",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2025-08-17",
        "certification_date": "2025-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "M847",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2025; 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.