Individual provider Active NPI

Valerie Marie Fernandez, DDS

  • Dentist
  • Shirley, NY
National Provider Identifier
1508554064
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
06432201 Issued in NY
Practice address
499 William Floyd Pkwy
Shirley, NY 11967-3416
Phone
(631) 281-1440
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 30159 FL
Dentist 122300000X 06432201 NY Primary

Addresses

Primary practice location

499 William Floyd Pkwy
Shirley, NY 11967-3416

Mailing address

7983 NW 161St Ter
Miami Lakes, FL 33016-6657
Phone (305) 764-6549

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
30159FLMDDentist
06432201NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
A&B Dental PC Dentist CurrentSince Jun 23, 2025 Accepting new patients

Locations

499 William Floyd Pkwy
Shirley, NY 11967
Phone (631) 281-1440

Organizations & group practices 1

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": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750291200000",
    "number": "1508554064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7983 NW 161ST TER",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330166657",
            "telephone_number": "305-764-6549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673416",
            "telephone_number": "631-281-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "VALERIE",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "30159",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "06432201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2025; 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.