Individual provider Active NPI

Kay Cumbee Betancourt, DMD, MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Vero Beach, FL
National Provider Identifier
1093832560
Registry record updated Jun 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN 14428 Issued in FL
Practice address
70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200
Phone
(772) 567-5981
Fax
(772) 567-5011
NPI assigned
Mar 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 3207 SC
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN 14428 FL Primary

Addresses

Primary practice location

70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200

Mailing address

70 Royal Palm PT
Suite B
Vero Beach, FL 32960-5200
Phone (772) 567-5981

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
DN 14428FLMDOrthodontics and Dentofacial Orthopedic Dentist

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372204800000",
    "number": "1093832560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 ROYAL PALM PT",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605200",
            "telephone_number": "772-567-5981",
            "fax_number": "772-567-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 ROYAL PALM PT",
            "address_2": "SUITE B",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605200",
            "telephone_number": "772-567-5981",
            "fax_number": "772-567-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETANCOURT",
        "first_name": "KAY",
        "middle_name": "CUMBEE",
        "credential": "DMD, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-22",
        "last_updated": "2013-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "3207",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN 14428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2013; 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.