Dr. Irivelisse Stevens Porter, DMD
Dentist, General Practice in Jacksonville, FL. Individual provider (NPI-1).
NPI number1407101033
StatusActive
Last updated in NPPESJul 19, 2012
Details
- NPI
- 1407101033
- Entity type
- Individual (NPI-1)
- Name
- Dr. Irivelisse Stevens Porter
- Credential
- DMD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 19, 2012
- Last updated
- Jul 19, 2012
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19714 | FL | Yes |
Practice location
12086 Fort Caroline RdSuite 105
Jacksonville, FL 32225-2687
Phone 904-807-9127
Mailing address
5077 Creek Crossing DrJacksonville, FL 32226-4779
Phone 904-463-4531
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Jacksonville, FL
- A Smile Resort, PANPI 1285844274
- Aa Prime Care Dental AssociatesNPI 1780934497
- Joseph Jack Abid, DDSNPI 1235341223
- Stephanie M. Acevedo-Decandis, DMDNPI 1962797498
- Manuel Alejandro Acosta Hernandez, DDSNPI 1619523560
- Advanced Dental Care (Jacksonville South), PLLCNPI 1619326477
- Affordable Dentures & Implants - North Jacksonville III, P.A.NPI 1740001668
- Affordable Dentures & Implants - North Jacksonville IV, P.A.NPI 1861332660
- Agape Family DentistryNPI 1134397987
- Sudhir Kumar Agarwal, BDSNPI 1508882440
All 479 General Practice Dentistry providers in Jacksonville · All 31,644 providers in Jacksonville
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 10 free a day, then credits from $29 for 5,000. Useful for credentialing, billing and pharmacy claim checks.