Sergey Korol, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15197 Issued in FL

Practice address

2315 S Dixie Hwy
West Palm Beach, FL 33401-7913

Phone

(561) 833-1042

Fax

(561) 659-5037

NPI assigned

Jun 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Networks

• Freedom Health HMO Network

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184630400000",
    "number": "1174726921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017913",
            "telephone_number": "561-833-1042",
            "fax_number": "561-659-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 S DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334017913",
            "telephone_number": "561-833-1042",
            "fax_number": "561-659-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROL",
        "first_name": "SERGEY",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Alise Koontz
• Hana Korb, PA-C
• Manisha Kak Korb, M.D.
• Angela Korber, LCSW
• Lisa Korman
• Francisca N Koser
• Jason Kosma
• Nicholas Kostovich, PTA
• Benjamin Kosubevsky, DO
• Beatriz Elizabeth Kouracles, MBA, BCBA, LBA

• General Practice Dentistry in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.