DR. BERT CHODOROV (NPI# 1629120548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629120548 |
| Entity Type | Individual |
| Full Name | DR. BERT CHODOROV |
| Credential | DDS MAGD ABGD |
| Practice Address |
2990 Business Center Blvd Melbourne FL 32940 |
| Practice Telephone | 3212540306 |
| Practice Fax Number | 3212540348 |
| Mailing Telephone | 3212540306 |
| Mailing Fax Number | 3212540348 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 2868 | FL | Dental Providers |
| Street Address |
2990 BUSINESS CENTER BLVD |
| City | MELBOURNE |
| State | FL |
| Zip Code | 32940 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710184973 | Mark A Kedzierski | Dentist | 2990 Business Center Blvd, Suite A, Melbourne, FL 32940-7135 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700403649 | True Motion Physical Therapy and Wellness | Clinic/Center | 3536 Peninsula Circle, Mlebourne, FL 32940 | 2020-06-26 |
| 1568089431 | Live Gracefully Physio and Wellness, Pllc | Clinic/Center | 6470 Shadow Creek Trail, Apt 5204, Melbourne, FL 32940 | 2020-06-26 |
| 1295360592 | Hiteshi Patel | Pharmacist | 3134 Hummingbird Way, Melbourne, FL 32940 | 2020-03-06 |
| 1972133122 | Curtis Lynn Curbo | Social Worker | 3830 Fringetree Lane, Melbourne, FL 32940 | 2020-01-16 |
| 1861038283 | Medfast Urgent Care Centers, LLC | Clinic/Center | 5500 Stadium Parkway, Melbourne, FL 32940 | 2019-11-20 |
| 1134601594 | Caroline Grace Bennett | Behavior Technician | 5500 Murrell Rd Suite 100, Melbourne, FL 32940 | 2018-09-02 |
| 1730682642 | Centennial Medical Group | Family Medicine | 1341 Bedford Drive, Melbourne, FL 32940 | 2018-03-16 |
| 1356849251 | Executive Non-emergency Transportation, Inc. | Non-emergency Medical Transport (VAN) | 3155-02 Suntree Blvd, Melbourne, FL 32940 | 2018-01-25 |
| 1679081160 | Brevard Oaks Center, LLC | Skilled Nursing Facility | 2355 Vidina Drive, Viera, FL 32940 | 2018-01-18 |
| 1275045817 | Comfortable Care Dental Health Professionals. P.a. | Dentist | 6340 N Wickham Rd Ste 101, Melbourne, FL 32940 | 2017-11-03 |
| Find all providers in zip 32940 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699334599 | Thomas Tolles | Dentist | 6340 N Wickham Rd Unit 101, Melbourne, FL 32940-2045 | 2019-06-13 |
| 1891281697 | Alisa Morgan Kleiman | Dentist | 6455 N Wickham Rd Unit 103, Melbourne, FL 32940-2020 | 2018-07-03 |
| 1285122044 | Kenneth A Mogell Dmd Pa | Dentist | 1400 Pine St Ste A, Melbourne, FL 32901-3170 | 2018-04-27 |
| 1871006742 | Dentists of Melbourne, Pa | Dentist | 6455 N Wickham Rd Ste 103, Melbourne, FL 32940-2020 | 2017-11-14 |
| 1144746116 | Viera Modern Dentistry, Pa | Dentist | 2328 Citadel Way, Suite 101, Melbourne, FL 32940 | 2017-08-21 |
| 1104209782 | New Image Dentistry | Dentist | 7827 N Wickham Rd, Suite A, Melbourne, FL 32940-8289 | 2015-07-01 |
| 1538549001 | Song Mao | Dentist | 1390 S Babcock St, Melbourne, FL 32901-3009 | 2015-05-31 |
| 1659769891 | Champaka Nagaraju | Dentist | 7777 N Wickham Rd Ste 4, Melbourne, FL 32940-7978 | 2014-12-22 |
| 1477960375 | Alexandros Tapper | Dentist | 3150 N Wickham Rd Ste 7, Melbourne, FL 32935-2322 | 2014-07-13 |
| 1700227923 | Dhiren Agrawal | Dentist | 249 Palm Bay Rd Ne, Melbourne, FL 32904-8602 | 2013-07-16 |
| Find all providers in MELBOURNE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.