NICOLE DOHERTY DMD
NPI 1780637736
Dentist - General Practice in Deland, FL

Active since May 19, 2006PECOS Enrolled
2641 S WOODLAND BLVD, DELAND, FL 32720(386) 738-7441(386) 738-1299 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicole Doherty Dmd NPPES

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

NICOLE DOHERTY DMD (NPI 1780637736) is an individual general practice provider in Deland, Florida, licensed in Florida (DN15963) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780637736
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameNICOLE DOHERTYCredential: DMD
Location Address2641 S WOODLAND BLVDDeland, FL 32720-8601
Mailing Address926 Great Pond Dr, Suite 2003Altamonte Springs, FL 32714-7244 · (407) 772-5124 · Fax (407) 788-3572
Fax(386) 738-1299
Sole ProprietorNo
Enumeration DateMay 19, 2006
Last NPPES UpdateMarch 23, 2010
NPI 1780637736 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 · DN15963
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.

2641 S WOODLAND BLVD, Deland, FL 32720

Accepted 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)

Nicole Doherty 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 32720 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 2

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

Dentist (General Practice)
2641 S WOODLAND BLVD
DELAND, FL 32720
Dentist (Orthodontics and Dentofacial Orthopedics)
2641 S WOODLAND BLVD
DELAND, FL 32720

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 Nicole Doherty's NPI number?

The NPI number for Nicole Doherty is 1780637736. It was assigned to this individual provider in the NPPES registry on May 19, 2006.

Where is Nicole Doherty located?

Nicole Doherty practices at 2641 S Woodland Blvd, Deland, FL 32720. The listed phone number is (386) 738-7441.

What is Nicole Doherty's specialty?

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

Is Nicole Doherty enrolled in Medicare?

Yes. Nicole Doherty is registered in the Medicare PECOS enrollment system.

What insurance does Nicole Doherty 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 13 other insurers list Nicole Doherty 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 Nicole Doherty was last updated on March 23, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.