Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1346214889 Individual Practitioner Female Practitioner

Dr. Jacqueline Kormann , DDS

Dentist - General Practice • Rockledge, FL

Professional Overview & Biography Verified Profile Summary

Dr. Jacqueline Kormann, DDS is a registered healthcare professional specializing in Dentist - General Practice in Rockledge, FL. Practice services are available at 220 BARTON BLVD UNIT C14 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

220 Barton Blvd Unit C14

Rockledge, FL 329552742

Telephone 3214338350
Fax 3214338351
Associated Practice Facility / Clinic
🏢 Brevard Health Alliance Inc Facility NPI 1811539687

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Rockledge, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.0 Yrs
Regional Practice Density
17 Specialists

Practicing in Rockledge, FL (7473 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License FL HAD 16

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
002042300 (FL)
Commercial Insurance / Payer ID Tax Id
59-2420282

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Christy Powell , APRN

Nurse Practitioner - Family

NPI 1013481050

Advanced Practice Registered Nurse

NPI 1265785604

Doctor of Psychology (Psy.D.)

Kimberly Torres , APRN

Nurse Practitioner - Family

NPI 1467868570

Advanced Practice Registered Nurse

NPI 1912091547

Doctor of Medicine (M.D.), FAAP

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active September 21, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location September 21, 2017

Registered at 220 BARTON BLVD UNIT C14, ROCKLEDGE, FL 329552742 (Tel: 3214338350)

📍
Updated Business Mailing Address September 21, 2017

Registered at PO BOX 1137, MELBOURNE, FL 329021137 (Tel: (321) 952-9696)

👤
Provider Name / Credentials Updated September 21, 2017

Recorded as JACQUELINE KORMANN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 21, 2017

Dentist (License #HAD 16 in FL)

NPI Profile Active April 05, 2011

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2011

Registered at 4620 N 22ND ST, TAMPA, FL 336106205 (Tel: 8132726240)

📍
Updated Business Mailing Address April 05, 2011

Registered at PO BOX 82969, TAMPA, FL 336822969 (Tel: 8138660930)

👤
Provider Name / Credentials Updated April 05, 2011

Recorded as JACQUELINE KORMANN, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2011

Dentist (License #HAD 16 in FL)

🟢
Initial NPI Registration & Enumeration February 13, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346214889
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 13, 2006
Last Update: July 21, 2022
Sole Proprietor: No

Mailing Address

Po Box 1137

Melbourne, FL 329021137

Phone: 3219529696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.