Mariya Pecheny, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

25358 Issued in FL

Practice address

880 37TH PL Ste 4
Vero Beach, FL 32960-6506

Phone

(772) 569-4424

NPI assigned

Aug 5, 2020

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

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.

• Coast Florida P.a.

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1396312096
  NPD (past)
• Coast Florida PA

  • Dentist
  • Melbourne, FL
  • NPI 1275109258
  NPD (past)

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

{
    "created_epoch": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1609486539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2535 RED MAPLE PL",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329357143",
            "telephone_number": "607-621-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "880 37TH PL STE 4",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606506",
            "telephone_number": "772-569-4424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECHENY",
        "first_name": "MARIYA",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-05",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "25358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Marie Payne
• Victoria Payton, MS, RD, LD
• PBPM Inc
• PD Gordon Inc
• Lynne Pearl, CAP, ICADC
• Richard A Pechter
• John Patrick Peden Jr., MD
• Pediatrix Medical Group of Florida Inc
• Peds & Carrots Therapy Services, Inc.
• Nancy H Pegg, M.S.W.

• Dentist in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2022; 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.