Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1659769891 Individual Practitioner Female Practitioner

Dr. Champaka Nagaraju , DMD

Dentist • Saint Cloud, FL

Professional Overview & Biography Verified Profile Summary

Dr. Champaka Nagaraju, DMD is a registered healthcare professional specializing in Dentist in Saint Cloud, FL. Practice services are available at 1050 GRAPE AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1050 Grape Ave

Saint Cloud, FL 347693965

Telephone 4079438600
Fax 4079325153
Associated Practice Facility / Clinic
🏢 Osceola County Health Dept Facility NPI 1396801569

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Saint Cloud, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 15.2 Yrs
Regional Practice Density
16 Specialists

Practicing in Saint Cloud, FL (6414 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

CMS Verified: 2024-04-23
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License FL DN21014

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
110893200 (FL)

Practice Associates & Co-Workers

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

37 Associated Practitioners
Dr. Luciol Livette , MD

General Practice

NPI 1023409984

Doctor of Medicine (M.D.)

Dr. Yanara Barreras , OD

Optometrist - Corneal and Contact Management

NPI 1053978122

Doctor of Optometry

Dr. David Ferro , DMD

Dentist - General Practice

NPI 1063451326

Doctor of Dental Medicine

NPI 1124234034

Doctor of Medicine (M.D.)

Kimberly Acevedo , ARNP

Nurse Practitioner - Adult Health

NPI 1164777827

Advanced Registered Nurse Practitioner

Teresita Ryan , APRN

Nurse Practitioner - Family

NPI 1215392154

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

12 Historical Events
📍
Updated Practice Location May 03, 2024

Registered at 1050 GRAPE AVE, SAINT CLOUD, FL 347693965 (Tel: 4079438600)

📍
Updated Business Mailing Address May 03, 2024

Registered at 1877 FORTUNE RD, KISSIMMEE, FL 347444428 (Tel: 4079438600)

📍
Updated Practice Location December 15, 2020

Registered at 11881A E COLONIAL DR, ORLANDO, FL 328264723 (Tel: 4073228645)

📍
Updated Business Mailing Address December 15, 2020

Registered at 4930 E LAKE MARY BLVD, SANFORD, FL 327715003 (Tel: 4073228645)

📍
Updated Practice Location September 19, 2019

Registered at 7777 N WICKHAM RD STE 4, MELBOURNE, FL 329407978 (Tel: 3212556303)

📍
Updated Business Mailing Address September 19, 2019

Registered at 2837 KILNS CIR, WEST MELBOURNE, FL 329049590 (Tel: 2404220823)

NPI Profile Active December 22, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 22, 2014

Registered at 1770 N WICKHAM RD, MELBOURNE, FL 329358122 (Tel: 3212530606)

📍
Updated Business Mailing Address December 22, 2014

Registered at 1125 LUMINARY CIR APT 101, MELBOURNE, FL 329016674 (Tel: 2404220823)

👤
Provider Name / Credentials Updated December 22, 2014

Recorded as CHAMPAKA NAGARAJU, D.M.D

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 22, 2014

Dentist (License #DN21014 in FL)

🟢
Initial NPI Registration & Enumeration December 22, 2014

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: 1659769891
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 22, 2014
Last Update: May 03, 2024
Sole Proprietor: No

Mailing Address

1877 Fortune Rd

Kissimmee, FL 347444428

Phone: 4079438600

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.