Individual provider Active NPI

John Varner, DDS, MD

  • Plastic and Reconstructive Surgery Physician
  • Melbourne, FL
National Provider Identifier
1346759222
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
ME171596 Issued in FL
Practice address
707 W Eau Gallie Blvd
Melbourne, FL 32935-5958
Phone
(321) 727-3223
NPI assigned
Sep 23, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 10394591-9922 UT
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 10394591-9925 UT
Plastic and Reconstructive Surgery Physician 2086S0122X ME171596 FL Primary

Addresses

Primary practice location

707 W Eau Gallie Blvd
Melbourne, FL 32935-5958

Mailing address

8523 Loren Cove Dr
Melbourne, FL 32940-7868
Phone (801) 673-6003

Other practice location 1

984125 Nebraska Medical Center
Omaha, NE 68198-0001
Phone (402) 559-6445

Other practice location 2

6287 S Redwood Rd Ste 103
Taylorsville, UT 84123-6653
Phone (801) 261-2444

Other practice location 3

216 E Main St
Lehi, UT 84043-2231
Phone (801) 768-1155

Other practice location 4

4590 S 2770 E
Holladay, UT 84117-4671
Phone (801) 673-6003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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

Enrollment IDStateProvider typePAC IDDetails
I20171017003146 NE Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 5496021503

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
144NEMDMental Health Counselor
10394591-9922UTMDDentist
10394591-9925UTMDOral and Maxillofacial Surgery (Dentist)
ME171596FLMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bermax II LLC CurrentSince Jul 9, 2025 Accepting new patients
Ut Oms Specialty Dental Services PLLC Oral and Maxillofacial Surgery PastSince Aug 1, 2024 Accepting new patients
Ut Oms Specialty Dental Services PLLC Oral and Maxillofacial Surgery Past Accepting new patients

Locations

707 W Eau Gallie Blvd
Melbourne, FL 32935
Phone (321) 610-8983

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1506124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1346759222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8523 LOREN COVE DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329407868",
            "telephone_number": "801-673-6003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W EAU GALLIE BLVD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329355958",
            "telephone_number": "321-727-3223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984125 Nebraska Medical Center",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681980001",
            "country_code": "US",
            "telephone_number": "402-559-6445",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6287 S Redwood Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Taylorsville",
            "state": "UT",
            "postal_code": "841236653",
            "country_code": "US",
            "telephone_number": "801-261-2444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "216 E Main St",
            "address_purpose": "LOCATION",
            "city": "Lehi",
            "state": "UT",
            "postal_code": "840432231",
            "country_code": "US",
            "telephone_number": "801-768-1155",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4590 S 2770 E",
            "address_purpose": "LOCATION",
            "city": "Holladay",
            "state": "UT",
            "postal_code": "841174671",
            "country_code": "US",
            "telephone_number": "801-673-6003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VARNER",
        "first_name": "JOHN",
        "credential": "DDS, MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-23",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "UT",
            "license": "10394591-9922",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "UT",
            "license": "10394591-9925",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "FL",
            "license": "ME171596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.