Individual provider Active NPI

Daniel Kubek, D.M.D, M.S.

  • Dentist
  • Louisville, KY
National Provider Identifier
1033524483
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9505 Issued in KY
Practice address
455 S 4TH St
Suite 950C
Louisville, KY 40202-2593
Phone
(502) 587-6131
Fax
(502) 584-8600
NPI assigned
Jun 24, 2014
Last updated
Jun 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9505 KY Primary

Addresses

Primary practice location

455 S 4TH St
Suite 950C
Louisville, KY 40202-2593

Mailing address

455 S 4TH St
Suite 950C
Louisville, KY 40202-2593
Phone (502) 587-6131

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160128002411 KY Order and Referring Only - DentistPractitioner - Dentist 2062715766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
9505KYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Dennis G. Piontek D.M.D.,PSC Dentist Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1033524483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S 4TH ST",
            "address_2": "SUITE 950C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022593",
            "telephone_number": "502-587-6131",
            "fax_number": "502-584-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 4TH ST",
            "address_2": "SUITE 950C",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022593",
            "telephone_number": "502-587-6131",
            "fax_number": "502-584-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBEK",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "D.M.D, M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-24",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.