Active NPI
Marissa Andreou, DDS
- Dentist
- West Melbourne, FL
National Provider Identifier
1821917162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN32196
- Practice address
- 715 Palm Bay Rd NE Unit 107
West Melbourne, FL 32904-9201 - Phone
- (321) 410-8622
- NPI assigned
- Jul 11, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN32196 | FL | Primary |
Addresses
Primary practice location
715 Palm Bay Rd NE Unit 107
West Melbourne, FL 32904-9201
Mailing address
2361 Willet PL Apt 3216
Melbourne, FL 32940-3632
Phone (586) 623-9606
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1783728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783728000000",
"number": "1821917162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2361 WILLET PL APT 3216",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329403632",
"telephone_number": "586-623-9606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 PALM BAY RD NE UNIT 107",
"city": "WEST MELBOURNE",
"state": "FL",
"postal_code": "329049201",
"telephone_number": "321-410-8622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREOU",
"first_name": "MARISSA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-07-11",
"last_updated": "2026-07-11",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN32196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.