Ponte Vedra Orthodontics LLC
NPI 1497560023ActiveOrganization· Dentist, Orthodontics and Dentofacial Orthopedics· Ponte Vedra Beach, FL
Dentist, Orthodontics and Dentofacial Orthopedics in Ponte Vedra Beach, Florida, registered in NPPES in February 2025. The authorized official on file is Merrian Refuerzo, Billing Manager.
Overview
| NPI | 1497560023 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2025 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, Orthodontics and Dentofacial Orthopedics Primary | 1223X0400X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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