Individual provider Active NPI

Grace Bernhard Nochez, DDS

  • General Practice Dentistry
  • Pensacola, FL
National Provider Identifier
1659832475
Registry record updated Jul 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
24212 Issued in FL
Practice address
5710 N Davis Hwy Ste 1
Pensacola, FL 32503-2039
Phone
(850) 391-3313
NPI assigned
Mar 26, 2019
Last updated
Jul 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6991 LA
General Practice Dentistry 1223G0001X 24212 FL Primary

Addresses

Primary practice location

5710 N Davis Hwy Ste 1
Pensacola, FL 32503-2039

Mailing address

5710 N Davis Hwy Ste 1
Pensacola, FL 32503-2039
Phone (850) 391-3313

Other practice location 1

460 Mary Esther Blvd
Mary Esther, FL 32569-1682
Phone (850) 601-5545

Other practice location 2

10 Riverwood Dr Ste A
Crestview, FL 32536-5017
Phone (850) 689-6766

Other practice location 3

2010 US Highway 98 W Unit 102
Santa Rosa Beach, FL 32459-5346
Phone (850) 267-1156

Other names 1

  • Dr. Grace M Bernhard Former name

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
6991LAMDProfessional Counselor
24212FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
FL Dental Professionals, PA General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

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

NPI Registry JSON

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

{
    "created_epoch": "1553558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1659832475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 N DAVIS HWY STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032039",
            "telephone_number": "850-391-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 N DAVIS HWY STE 1",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032039",
            "telephone_number": "850-391-3313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "460 Mary Esther Blvd",
            "address_purpose": "LOCATION",
            "city": "Mary Esther",
            "state": "FL",
            "postal_code": "325691682",
            "country_code": "US",
            "telephone_number": "850-601-5545",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Riverwood Dr Ste A",
            "address_purpose": "LOCATION",
            "city": "Crestview",
            "state": "FL",
            "postal_code": "325365017",
            "country_code": "US",
            "telephone_number": "850-689-6766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 US Highway 98 W Unit 102",
            "address_purpose": "LOCATION",
            "city": "Santa Rosa Beach",
            "state": "FL",
            "postal_code": "324595346",
            "country_code": "US",
            "telephone_number": "850-267-1156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOCHEZ",
        "first_name": "GRACE",
        "middle_name": "BERNHARD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-26",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "LA",
            "license": "6991",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "BERNHARD",
            "middle_name": "M",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pensacola, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2019; 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.