Theresa Palomeque, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN11858 Issued in FL

Practice address

210 E 7TH St
Apopka, FL 32703-3208

Phone

(407) 905-8827

Fax

(407) 880-2138

NPI assigned

Feb 15, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: theresa.palomeque@chcfl.eclinicaldirectplus.com

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.

• Community Health Centers, Inc

  • Dental Clinic/Center
  • Orlando, FL
  • NPI 1003058140
  NPD (past)
• Community Health Centers, Inc.

  • Clinic/Center
  • Apopka, FL
  • NPI 1265791842
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Orlando, FL
  • NPI 1831261445
  NPD (past)
• Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • Apopka, FL
  • NPI 1972800563
  NPD (past)

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

{
    "created_epoch": "1139961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1386618544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S WOODLAND ST",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873546",
            "telephone_number": "407-905-8827",
            "fax_number": "407-905-8998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 7TH ST",
            "city": "APOPKA",
            "state": "FL",
            "postal_code": "327033208",
            "telephone_number": "407-905-8827",
            "fax_number": "407-880-2138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMEQUE",
        "first_name": "THERESA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-15",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN11858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DENTAL",
            "identifier": "029547796",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FQHC",
            "identifier": "029547700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID FEE FOR SERVICE",
            "identifier": "057724300",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "075996100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shanice R Paige
• Nessy Pajotte, MSW
• Michael Clyde Palafox, APRN
• Carolyn Pallotta, PTA
• Michael Everett Palmer II, PA-C
• Parmatma Parajuli, MD
• Debora A Pareja-Neyra, MD
• Trisha M Parisi, AP
• Park Ave Medical Group
• Park Avenue Ophthalmics, PLLC

• Dentist in Apopka, FL
• Providers in Apopka, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.