Active NPI
Richard M Kernagis, DMD
- Dentist
- Tampa, FL
National Provider Identifier
1174741029
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN15191
- Practice address
- 2001 W Busch Blvd
Tampa, FL 33612 - Phone
- (813) 932-3940
- Fax
- (813) 933-6277
- NPI assigned
- Apr 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN15191 | FL | Primary |
Addresses
Primary practice location
2001 W Busch Blvd
Tampa, FL 33612
Mailing address
5486 Lihtia Pinecrest Road
Lithia, FL 33547
Phone (813) 571-5555
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160510000546 | FL | Order and Referring Only - Other (Physician) | 8426347733 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN15191 | FL | MD | Dentist |
Organizations & group practices 5
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.
-
- Dentist
- Lithia, FL
- NPI 1952502742
-
dba Kernagis Dental Excellence Dental Excellence at Fishhawk
- Dentist
- Lithia, FL
- NPI 1568583342
-
- General Practice Dentistry
- Lithia, FL
- NPI 1265888606
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1174741029",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5486 LIHTIA PINECREST ROAD",
"city": "LITHIA",
"state": "FL",
"postal_code": "33547",
"telephone_number": "813-571-5555",
"fax_number": "813-571-5559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 W BUSCH BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-932-3940",
"fax_number": "813-933-6277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNAGIS",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN15191",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.