Diorgis Manuel Sarmiento, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

24204 Issued in FL

Practice address

1770 N Wickham Rd
Melbourne, FL 32935-8122

Phone

(321) 253-0606

NPI assigned

Jun 6, 2019

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

Other identifiers 1

Other names 1

• Diorgis Manuel Samiento Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Castle 1St Dental Care PA

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1700958956
  NPD (past)
• Valley Forge Dental of FL PA

  • General Practice Dentistry
  • Melbourne, FL
  • NPI 1912079187
  NPD (past)

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1841859634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 JUDGE FRAN JAMIESON WAY",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329406208",
            "telephone_number": "585-500-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1770 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329358122",
            "telephone_number": "321-253-0606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARMIENTO",
        "first_name": "DIORGIS",
        "middle_name": "MANUEL",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-06",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "24204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EGNA, SIGNA, DELTA DENTAL, BLUE CROSS BLUE SHIELD, MEDLIFE",
            "identifier": "24204",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIORGIS",
            "last_name": "SAMIENTO",
            "middle_name": "MANUEL",
            "credential": "DR. DIOR",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Luiz Santos, MD
• Paula Cristina Suarez Santos, PMHNP
• Sara S. Turse M.D.P.a.
• Sarah M. W, Arnett, Psy.D., P.a.
• Janice Ann Sargent-Nutt, OTR/L
• Sarno Imaging Center
• Helena Sartor
• Jennifer Vaughn Sartor, M.D.
• Tammy Sarver
• Priya Sasankan, MD

• General Practice Dentistry in Melbourne, FL
• Providers in Melbourne, 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 Jun 6, 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.