Individual provider Active NPI

Leslie Lynette Nevarez, D.M.D.

  • Dentist
  • Riverview, FL
National Provider Identifier
1528490273
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 20332 Issued in FL
Practice address
10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291
Phone
(813) 454-0776
NPI assigned
Aug 5, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 20332 FL Primary

Addresses

Primary practice location

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291

Mailing address

10672 Bloomingdale Ave Unit 102
Riverview, FL 33578-4291
Phone (813) 454-0776

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150625001763 FL Order and Referring Only - DentistPractitioner - Dentist 0547571986

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 20332FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Guava Dental CurrentSince May 19, 2024 Accepting new patients

Locations

10672 Bloomingdale Ave
Unit 102
Riverview, FL 33578
Phone (813) 454-0776

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": "1375660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1528490273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10672 BLOOMINGDALE AVE UNIT 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784291",
            "telephone_number": "813-454-0776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10672 BLOOMINGDALE AVE UNIT 102",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784291",
            "telephone_number": "813-454-0776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEVAREZ",
        "first_name": "LESLIE",
        "middle_name": "LYNETTE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-05",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 20332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverview, FL

Sources for this page

Verify at the official NPI Registry.