Individual provider Active NPI

Morgan Kubis, DMD

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1043835564
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN24962 Issued in FL
Practice address
9277 SE Maricamp Rd
Ocala, FL 34472-2341
Phone
(352) 687-2354
NPI assigned
Jun 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN24962 FL Primary

Addresses

Primary practice location

9277 SE Maricamp Rd
Ocala, FL 34472-2341

Mailing address

1797 NE 39TH St
Ocala, FL 34479-8640
Phone (203) 837-7305

Other practice location 1

13700 N US Highway 441
Lady Lake, FL 32159-8980
Phone (352) 259-0822

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN24962FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Marion Dental Group PastSince Jun 14, 2020 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1043835564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1797 NE 39TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344798640",
            "telephone_number": "203-837-7305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9277 SE MARICAMP RD",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344722341",
            "telephone_number": "352-687-2354"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13700 N US Highway 441",
            "address_purpose": "LOCATION",
            "city": "Lady Lake",
            "state": "FL",
            "postal_code": "321598980",
            "country_code": "US",
            "telephone_number": "352-259-0822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUBIS",
        "first_name": "MORGAN",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN24962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.