Individual provider Active NPI

Zofia Yurkiewicz, DDS

  • General Practice Dentistry
  • Clermont, FL
National Provider Identifier
1093925836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN 10319 Issued in FL
Practice address
1016 E Highway 50
Clermont, FL 34711-3239
Phone
(352) 241-4884
Fax
(352) 241-4882
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 DN 10319 FL Primary

Addresses

Primary practice location

1016 E Highway 50
Clermont, FL 34711-3239

Mailing address

214 Butler St
Windermere, FL 34786-8530
Phone (407) 277-1211

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
DN 10319FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093925836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 BUTLER ST",
            "city": "WINDERMERE",
            "state": "FL",
            "postal_code": "347868530",
            "telephone_number": "407-277-1211",
            "fax_number": "407-380-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E HIGHWAY 50",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347113239",
            "telephone_number": "352-241-4884",
            "fax_number": "352-241-4882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YURKIEWICZ",
        "first_name": "ZOFIA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN 10319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.