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DR. COURTNEY SEVILLA DMD
NPI 1023499431
Dentist in Palm Bay, FL

Active since June 11, 2015PECOS Enrolled
3420 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909(321) 722-0155 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Courtney Sevilla Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. COURTNEY SEVILLA DMD (NPI 1023499431) is an individual dentist in Palm Bay, Florida, licensed in Florida (DN21195) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023499431
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. COURTNEY SEVILLACredential: DMD
Location Address3420 BAYSIDE LAKES BLVD SEPalm Bay, FL 32909-6894
Mailing Address3420 Bayside Lakes Blvd SePalm Bay, FL 32909-6894 · (321) 722-0155
Phone(321) 722-0155
Sole ProprietorNo
Enumeration DateJune 11, 2015
Last NPPES UpdateDecember 17, 2020
NPPES CertifiedDecember 17, 2020
✔ NPI 1023499431 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN21195
Definition
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.
Also ListedDentist · General PracticeTaxonomy 1223G0001X · License DN21195 (FL)
3420 BAYSIDE LAKES BLVD SE, Palm Bay, FL 32909
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Courtney Sevilla Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32909 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN NGUYEN DMD
Dentist
3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 722-0155
DR. HENRY L MASON III DMD
Dentist
3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 722-0155
DR. ALEJANDRA GONZALEZ FERGUSON DMD
Dentist
3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 722-0155
COMFORTABLE CARE DENTAL HEALTH PROFESSIONALS, PA
Dentist (General Practice)
3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 292-1313
NATALIE AREEJ MASRI DMD
Dentist (General Practice)
3420 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 515-4656

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Courtney Sevilla's NPI number?

The NPI number for Courtney Sevilla is 1023499431. It was assigned to this individual provider in the NPPES registry on June 11, 2015.

Where is Courtney Sevilla located?

Courtney Sevilla practices at 3420 Bayside Lakes Blvd SE, Palm Bay, FL 32909. The listed phone number is (321) 722-0155.

What is Courtney Sevilla's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Courtney Sevilla enrolled in Medicare?

Yes. Courtney Sevilla is registered in the Medicare PECOS enrollment system.

What insurance does Courtney Sevilla accept?

Health plans from Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, BEST Life and Blue Cross and Blue Shield of Alabama and 14 other insurers list Courtney Sevilla as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Courtney Sevilla was last updated on December 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.