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TARA DERAKHSHANDEH DMD
NPI 1609353713
Dentist in Palm Bay, FL

Active since July 20, 2018
3590 BAYSIDE LAKES BLVD SE, PALM BAY, FL 32909(321) 984-0044 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 2, 2018, Jul 20, 2018 (2 updates tracked since 2018).

About Tara Derakhshandeh Dmd NPPES

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

TARA DERAKHSHANDEH DMD (NPI 1609353713) is an individual dentist in Palm Bay, Florida, licensed in Florida (DN23654) and active in the NPI registry since July 2018.

NPPES Registry Identity

NPI1609353713
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameTARA DERAKHSHANDEHCredential: DMD
Location Address3590 BAYSIDE LAKES BLVD SEPalm Bay, FL 32909
Mailing Address3590 Bayside Lakes Blvd SePalm Bay, FL 32909-6866
Phone(321) 984-0044
Sole ProprietorNo
Enumeration DateJuly 20, 2018
Last NPPES UpdateAugust 2, 20182 updates tracked since enumeration
✔ NPI 1609353713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in FL · DN23654
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.
3590 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 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 5

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

KASIM MANZUR DMD
Dentist
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 984-0044
NEW IMAGE DENTISTY OF PALM BAY
Dentist (General Practice)
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 984-0044
DR. LINA ALEJANDRA RAMIREZ DMD
Dentist
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 544-7036
ZAID MUJEEB
Dentist (General Practice)
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 984-0044
DR. ERIC MASON ROLLMAN DMD
Dentist
3590 BAYSIDE LAKES BLVD SE
PALM BAY, FL 32909
Brevard County (321) 984-0044

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 Tara Derakhshandeh's NPI number?

The NPI number for Tara Derakhshandeh is 1609353713. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Tara Derakhshandeh located?

Tara Derakhshandeh practices at 3590 Bayside Lakes Blvd SE, Palm Bay, FL 32909. The listed phone number is (321) 984-0044.

What is Tara Derakhshandeh's specialty?

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

What insurance does Tara Derakhshandeh 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 Delta Dental and 9 other insurers list Tara Derakhshandeh 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 Tara Derakhshandeh was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.