Viktor Pavlidakey, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN26466 Issued in FL

Practice address

870 Saxon Blvd Ste 39
Orange City, FL 32763-8209

Phone

(386) 200-5067

NPI assigned

Oct 1, 2021

Last updated

Nov 24, 2024By the provider in NPPES

Sex

Male

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fishhawk Modern Dentistry, PA

  dba Fishhawk Modern Dentistry

  • Dentist
  • Lithia, FL
  • NPI 1730726506
  NPD (past)
• Thurston & Acosta Dental Associates,PL

  • General Practice Dentistry
  • Auburndale, FL
  • NPI 1508943796
  NPD (past)
• Thurston Comprehensive Dental Center

  • General Practice Dentistry
  • Auburndale, FL
  • NPI 1669794608
  NPD (past)

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

{
    "created_epoch": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732406400000",
    "number": "1659043214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1094 CANDLER RD",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337652301",
            "telephone_number": "727-366-2621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 SAXON BLVD STE 39",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638209",
            "telephone_number": "386-200-5067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAVLIDAKEY",
        "first_name": "VIKTOR",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2024-11-24",
        "certification_date": "2024-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tarak Patel, R.PH.
• Pathfinder Advocacy Center
• Patients Choice Medical Care, Inc.
• Aya Pauley, PA-C
• Alyssa Pavek
• Alicia Cellini Payne
• Peak Athletix LLC
• Alyssa Ann Pearson
• Alfredo A Pegoraro, M.D.
• Jason Pemberton, PT, DPT

• General Practice Dentistry in Orange City, FL
• Providers in Orange City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2024; 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.