Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LUIZ THIAGO PEREIRA DE CARVALHO DDS
NPI 1265153605
Dentist in Jacksonville, FL

Q: What is Luiz Thiago Pereira De Carvalho's NPI number?

The NPI number for Luiz Thiago Pereira De Carvalho is 1265153605. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Q: What is Luiz Thiago Pereira De Carvalho's specialty?

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

Active since September 05, 2022PECOS Enrolled

2797 SAINT JOHNS BLUFF RD S, JACKSONVILLE, FL 32246(904) 966-4560 Get Directions Write a Review

NPPES record last updated: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 18, 2022, Sep 5, 2022 (2 updates tracked since 2022).

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About Luiz Thiago Pereira De Carvalho Dds NPPES

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

LUIZ THIAGO PEREIRA DE CARVALHO DDS (NPI 1265153605) is an individual dentist in Jacksonville, Florida, licensed in Florida (DN31629) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS and maintains a secondary practice location in Fresno.

NPPES Registry Identity

NPI1265153605

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameLUIZ THIAGO PEREIRA DE CARVALHOCredential: DDS

Location Address2797 SAINT JOHNS BLUFF RD SJacksonville, FL 32246-3703

Mailing Address2797 Saint Johns Bluff Rd SJacksonville, FL 32246-3703 · (904) 966-4560

Phone(904) 966-4560

Sole ProprietorNo

Enumeration DateSeptember 5, 2022

Last NPPES UpdateJune 15, 20262 updates tracked since enumeration

NPPES CertifiedJune 15, 2026

✔ NPI 1265153605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

Licenses✔ Licensed in FL · DN31629✔ Licensed in CA · 107746

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.

2797 SAINT JOHNS BLUFF RD S, Jacksonville, FL 32246

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Secondary Practice Location 1

Location 1645 S Minnewawa AveFresno, CA 93727-4141 · Phone (800) 492-4227

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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)

Luiz Thiago Pereira De Carvalho Dds 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 32246 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 3

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

JESSE LEMOINE DDS

Dentist (Periodontics)

2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246

Duval County (904) 641-3777

SAGE DENTAL OF JACKSONVILLE MIDTOWN PLLC

Dentist

2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246

Duval County (561) 999-9650

HOLLY HYUNJUNG PARK-NAH DDS

Dentist (Endodontics)

2797 SAINT JOHNS BLUFF RD S
JACKSONVILLE, FL 32246

Duval County (904) 966-4560

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 Luiz Thiago Pereira De Carvalho's NPI number?

The NPI number for Luiz Thiago Pereira De Carvalho is 1265153605. It was assigned to this individual provider in the NPPES registry on September 5, 2022.

Where is Luiz Thiago Pereira De Carvalho located?

Luiz Thiago Pereira De Carvalho practices at 2797 Saint Johns Bluff Rd S, Jacksonville, FL 32246. The listed phone number is (904) 966-4560.

What is Luiz Thiago Pereira De Carvalho's specialty?

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

Is Luiz Thiago Pereira De Carvalho enrolled in Medicare?

Yes. Luiz Thiago Pereira De Carvalho is registered in the Medicare PECOS enrollment system.

What insurance does Luiz Thiago Pereira De Carvalho accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Luiz Thiago Pereira De Carvalho 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 Luiz Thiago Pereira De Carvalho was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.