Individual provider Active NPI

Fernanda Dante Martinez de Freitas, DDS

  • Pediatric Dentistry
  • Palm Coast, FL
National Provider Identifier
1982353496
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN30464 Issued in FL
Practice address
25 Pine Cone Dr Ste 1
Palm Coast, FL 32164-8424
Phone
(386) 346-8033
NPI assigned
Mar 22, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN30464 FL Primary
Public Health Dentistry 1223D0001X DL100752 MA
Pediatric Dentistry 1223P0221X 05306 NH

Addresses

Primary practice location

25 Pine Cone Dr Ste 1
Palm Coast, FL 32164-8424

Mailing address

18 Anchorage Rd
Franklin, MA 02038-1538
Phone (832) 709-8416

Other practice location 1

99 Flagler Plaza Dr
Palm Coast, FL 32137-5965
Phone (386) 346-8033

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
DL100752MAMDPublic Health Dentist
DN30464FLMDPediatric Dentist
05306NHMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mattapan Community Health Center Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ffreitas345661@direct.ochin.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1982353496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 ANCHORAGE RD",
            "city": "FRANKLIN",
            "state": "MA",
            "postal_code": "020381538",
            "telephone_number": "832-709-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 PINE CONE DR STE 1",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321648424",
            "telephone_number": "386-346-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 Flagler Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Palm Coast",
            "state": "FL",
            "postal_code": "321375965",
            "country_code": "US",
            "telephone_number": "386-346-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DANTE MARTINEZ DE FREITAS",
        "first_name": "FERNANDA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-22",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN30464",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "MA",
            "license": "DL100752",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NH",
            "license": "05306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.