Individual provider Active NPI

Valerie Moncayo Domingoes, DMD

  • General Practice Dentistry
  • Winter Springs, FL
National Provider Identifier
1356993380
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24360 Issued in FL
Practice address
1122 E Sr 434 Ste 1020
Winter Springs, FL 32708-2723
Phone
(407) 327-9566
NPI assigned
Jul 10, 2019
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24360 FL Primary

Addresses

Primary practice location

1122 E Sr 434 Ste 1020
Winter Springs, FL 32708-2723

Mailing address

1122 E Sr 434 Ste 1020
Winter Springs, FL 32708-2723
Phone (407) 327-9566

Other names 1

  • Dr. Valerie Moncayo Former name

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
DN24360FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
All in One Dentistry 1 Multi-Specialty PastSince Jul 7, 2024 Accepting new patients
Winter Springs Dental Inc PastSince Jul 7, 2024 Accepting new patients

Networks

  • Freedom Health HMO Network

Organizations & group practices 2

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": "1562716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1356993380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1122 E SR 434 STE 1020",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082723",
            "telephone_number": "407-327-9566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1122 E SR 434 STE 1020",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082723",
            "telephone_number": "407-327-9566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGOES",
        "first_name": "VALERIE",
        "middle_name": "MONCAYO",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-10",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "MONCAYO",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.