Active NPI
Michael J Fernandez, D.M.D., P.A.
- Dentist
- Seminole, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN14109
- Practice address
- 9009 Park Blvd
Seminole, FL 33777-4152 - Phone
- (727) 397-6673
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | DN14109 | FL | Primary |
Addresses
Primary practice location
9009 Park Blvd
Seminole, FL 33777-4152
Mailing address
7895 Seminole Blvd Ste 202
Seminole, FL 33772-4891
Phone (727) 397-6673
Other practice location 1
14100 58th St N
Clearwater, FL 33760-9900
Phone (727) 824-8181
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dentist
- Education
- University of Florida College of Dentistry, 1995
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
14100 58TH St N
Clearwater, FL 33760-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN14109 | FL | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Community Health Center of Pinellas Inc | Current | Accepting new patients | |
| Community Health Centers of Pinellas Inc. | Current | Accepting new patients | |
| Seminole Family Dental Care PLLC | Current | Accepting new patients |
Locations
14100 58th St N
Clearwater, FL 33760
14100 58th St N
Ste 100
Clearwater, FL 33760
Phone (727) 286-6224
7895 Seminole Blvd
Ste 202
Seminole, FL 33772
Phone (727) 397-6673
1344 22nd St S
St Petersburg, FL 33712
Phone (727) 821-6701
Networks
- Freedom Health HMO Network
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1467873315
-
- Pharmacy
- Clearwater, FL
- NPI 1467273383
-
- Federally Qualified Health Center (FQHC)
- Clearwater, FL
- NPI 1851011449
-
- General Practice Dentistry
- Seminole, FL
- NPI 1235941915
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1992896690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7895 SEMINOLE BLVD STE 202",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337724891",
"telephone_number": "727-397-6673",
"fax_number": "727-393-3884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9009 PARK BLVD",
"city": "SEMINOLE",
"state": "FL",
"postal_code": "337774152",
"telephone_number": "727-397-6673"
}
],
"practiceLocations": [
{
"address_1": "14100 58th St N",
"address_purpose": "LOCATION",
"city": "Clearwater",
"state": "FL",
"postal_code": "337609900",
"country_code": "US",
"telephone_number": "727-824-8181",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FERNANDEZ",
"first_name": "MICHAEL",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.M.D., P.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN14109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seminole, FL
- Yvonne Nichole Farrington, M.A., CCC-SLP
- Elizabeth Evangeline Featherstone, APRN, CPNP-PC
- Wladislaw G Fedoriw, MD
- Samantha L Ferguson, PHARMD
- Dalila Estefania Fernandez, DMD
- Joseph J Fiala, MD
- First Call Home Health LLC
- Jill Fischer-Peters, L.C.S.W.
- Morgan Fisher
- Sandra Elizabeth Flamenco de Padilla, LCSW, ACHP-SW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.