Active NPI
Richard M Kelowitz, D.D.S.
- General Practice Dentistry
- Newberry, FL
National Provider Identifier
1184834384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS020304L
- Practice address
- 2165 NW 147TH St
Newberry, FL 32669-2043 - Phone
- (610) 417-4130
- NPI assigned
- May 23, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS020304L | PA | Primary |
| Dentist | 122300000X | DN8554 | FL |
Addresses
Primary practice location
2165 NW 147TH St
Newberry, FL 32669-2043
Mailing address
Health Science Ctr
College of Dentistry
Gainesville, FL 32610-0412
Phone (610) 691-6200
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 |
|---|---|---|---|---|
| I20160315001740 | FL | Order and Referring Only - Dentist | 1355647462 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8554 | FL | MD | Dentist |
| DS020304L | PA | MD | General 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": "1272499200000",
"number": "1184834384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "HEALTH SCIENCE CTR",
"address_2": "COLLEGE OF DENTISTRY",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326100412",
"telephone_number": "610-691-6200",
"fax_number": "610-691-1840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2165 NW 147TH ST",
"city": "NEWBERRY",
"state": "FL",
"postal_code": "326692043",
"telephone_number": "610-417-4130"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KELOWITZ",
"first_name": "RICHARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2010-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS020304L",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8554",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newberry, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2010; 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.