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DR. IRIVELISSE STEVENS PORTER DMD
NPI 1407101033
Dentist - General Practice in Jacksonville, FL

Active since July 19, 2012
12086 FORT CAROLINE RD, SUITE 105, JACKSONVILLE, FL 32225(904) 807-9127 Get Directions Write a Review

NPPES record last updated: July 19, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Irivelisse Stevens Porter Dmd NPPES

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

DR. IRIVELISSE STEVENS PORTER DMD (NPI 1407101033) is an individual general practice provider in Jacksonville, Florida, licensed in Florida (19714) and active in the NPI registry since July 2012.

NPPES Registry Identity

NPI1407101033
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. IRIVELISSE STEVENS PORTERCredential: DMD
Location Address12086 FORT CAROLINE RD, SUITE 105Jacksonville, FL 32225-2687
Mailing Address5077 Creek Crossing DrJacksonville, FL 32226-4779 · (904) 463-4531
Phone(904) 807-9127
Sole ProprietorNo
Enumeration DateJuly 19, 2012
✔ NPI 1407101033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in FL · 19714
Definition
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.
12086 FORT CAROLINE RD, Jacksonville, FL 32225
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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 ›

Other Providers at the Same Location NPPES 15

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

DR. KIA MICHON MITCHELL M.D.
Family Medicine
12086 FORT CAROLINE RD, STE 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271
AKIRA TAVERAS
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
ARIANNA MCWILLIAMS
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
WILLIAM DEWEY LEE III PA
Physician Assistant (Medical)
12086 FORT CAROLINE RD, STE # 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271
KIAYA LAGA
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Duval County (904) 415-1609
DR. BLAKE MOSER D.C.
Chiropractor
12086 FORT CAROLINE RD, SUITE 302
JACKSONVILLE, FL 32225
Duval County (904) 564-2500
DR. PAUL SCHLOTH DMD
Dentist
12086 FORT CAROLINE RD, SUITE 105
JACKSONVILLE, FL 32225
Duval County (904) 807-9127
KAITLIN RAY ARNP
Nurse Practitioner (Pediatrics)
12086 FORT CAROLINE RD, 401
JACKSONVILLE, FL 32225
Duval County (904) 565-1271

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 Irivelisse Porter's NPI number?

The NPI number for Irivelisse Porter is 1407101033. It was assigned to this individual provider in the NPPES registry on July 19, 2012.

Where is Irivelisse Porter located?

Irivelisse Porter practices at 12086 Fort Caroline Rd Suite 105, Jacksonville, FL 32225. The listed phone number is (904) 807-9127.

What is Irivelisse Porter's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Irivelisse Porter 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 Dominion National and 6 other insurers list Irivelisse Porter 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 Irivelisse Porter was last updated on July 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.