Melissa Gonzalez Herrera

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN29133 Issued in FL

Practice address

685 Crosswater Pkwy Ste a
Ponte Vedra, FL 32081-0769

Phone

(904) 686-7608

NPI assigned

Jun 25, 2024

Last updated

Jun 25, 2024By the provider in NPPES

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

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

{
    "created_epoch": "1719273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1386488179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 SW 125TH TER",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331565811",
            "telephone_number": "786-488-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "685 CROSSWATER PKWY STE A",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320810769",
            "telephone_number": "904-686-7608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ HERRERA",
        "first_name": "MELISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-25",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jefferson Pearce Futch, DPM
• William Keith Galer, MS, LMFT
• Nolan Gallagher, DC
• Jessica Gillan
• Jessica Goldman, OTD, OTR/L
• Joselyne Anneth Gonzalez
• Gordon Family Chiropractic Inc
• Samantha Gottlieb
• Kelly Gracek, M.A., CCC-SLP
• Melinda Faye Greenfield, DO

• General Practice Dentistry in Ponte Vedra, FL
• Providers in Ponte Vedra, 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 Jun 25, 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.