Individual provider Active NPI

Ronald Kohlbrand, DDS

  • Dentist
  • Rockledge, FL
National Provider Identifier
1093151474
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN12166 Issued in FL
Practice address
980 Highway 1
Ronald Kohlbrand DDS
Rockledge, FL 32955-2128
Phone
(321) 632-5323
Fax
(321) 632-6834
NPI assigned
May 13, 2013
Last updated
Aug 16, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN12166 FL Primary

Addresses

Primary practice location

980 Highway 1
Ronald Kohlbrand DDS
Rockledge, FL 32955-2128

Mailing address

980 Highway 1
Ronald Kohlbrand DDS
Rockledge, FL 32955-2128
Phone (321) 632-5323

Other identifiers 1

IdentifierTypeStateIssuer
DN12166OtherFLDENTAL LICENSE

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
DN12166FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Allen DMD LLC Dentist Past Accepting new patients
Ronald L. Kohlbrand DDS, PA Dentist Past Accepting new patients

Organizations & group practices 2

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": "1368403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1093151474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 1",
            "address_2": "RONALD KOHLBRAND DDS",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552128",
            "telephone_number": "321-632-5323",
            "fax_number": "321-632-6834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 HIGHWAY 1",
            "address_2": "RONALD KOHLBRAND DDS",
            "city": "ROCKLEDGE",
            "state": "FL",
            "postal_code": "329552128",
            "telephone_number": "321-632-5323",
            "fax_number": "321-632-6834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHLBRAND",
        "first_name": "RONALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-13",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN12166",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN12166",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockledge, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.