Naderge D Chery, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN 20382 Issued in FL

Practice address

445 State Road 13 Ste 22
Jacksonville, FL 32259-2821

Phone

(904) 209-6590

NPI assigned

Sep 10, 2013

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

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 (3 of 4)

Locations

Networks

• Freedom Health HMO Network

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.

• Chery Dental LLC

  • Dentist
  • Green Cove Springs, FL
  • NPI 1730740259
  NPD Authorized official
• Coast Dental P.a.

  • Dentist
  • Jacksonville, FL
  • NPI 1508432840
  NPD (past)
• Coast Dental P.a.

  • Dentist
  • Tampa, FL
  • NPI 1992803860
  NPD (past)

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414972800000",
    "number": "1457786337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7820 BAYMEADOWS RD E",
            "address_2": "APT 511",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322564637",
            "telephone_number": "561-271-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 STATE ROAD 13 STE 22",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322592821",
            "telephone_number": "904-209-6590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY",
        "first_name": "NADERGE",
        "middle_name": "D",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-10",
        "last_updated": "2014-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 20382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cherished Angel'S Inc.
• Craig A Cherrin, ARNP
• Ainsley Cherry
• Brenda Cherry
• James Edward Cherry, D.M.D.
• Cheryl G Anthony
• William Cheshire, MD
• David J Chesire, PHD
• Ashley Chesser
• Cheryl Renee Chesser

• All providers in Jacksonville, FL
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2014; 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.