OrganizationActive
Reza Ardalan DMD PA
NPI 1356274542 · Pediatric Dentistry · Port Saint Lucie, FL
Reza Ardalan DMD PA is a Pediatric Dentistry organization in Port Saint Lucie, FL (NPI 1356274542).
Provider details
- NPI number
- 1356274542
- Entity type
- Organization
- Primary specialty
- Pediatric DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Kimberly Ardalan, Cfo(772) 344-4664
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(52/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
130 Sw Chamber Ct
Port Saint Lucie, FL 34986-3496
Phone: (772) 344-4664
Fax: (772) 621-4498
Approximate (ZIP-level) locationGet directions
Mailing address
130 Sw Chamber Ct
Port Saint Lucie, FL 34986-3496
Registry dates
- Enumerated
- 2026-06-05
- Last updated
- 2026-06-05
- Certified
- 2026-06-05
Frequently asked questions
- What is Reza Ardalan DMD PA's NPI number?
- Reza Ardalan DMD PA's National Provider Identifier (NPI) is 1356274542, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Reza Ardalan DMD PA?
- Reza Ardalan DMD PA is classified in the NPPES registry as Pediatric Dentistry (Dental Providers).
- Where is Reza Ardalan DMD PA located?
- Reza Ardalan DMD PA's practice location on file with NPPES is 130 Sw Chamber Ct, Port Saint Lucie, FL 34986-3496.
- What is Reza Ardalan DMD PA's phone number?
- The practice phone number listed in the NPPES registry for Reza Ardalan DMD PA is (772) 344-4664.
- Who is the authorized official for Reza Ardalan DMD PA?
- The authorized official listed on Reza Ardalan DMD PA's NPPES record is Kimberly Ardalan, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Reza Ardalan DMD PA's NPI active?
- Yes — Reza Ardalan DMD PA's NPI (1356274542) is active in the NPPES registry as of the last update on 2026-06-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.