Justin J. Katsur, DMD. FAGD, MBA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN16372 Issued in FL

Practice address

701 E Oak St Ste B
Kissimmee, FL 34744-4575

Phone

(407) 847-8000

Fax

(407) 847-6773

NPI assigned

Mar 21, 2006

Last updated

Jul 9, 2024By the provider in NPPES

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

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Business Administration

Practice roles

Networks

• Freedom Health HMO Network

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.

• Dental Elements, PA

  • Dentist
  • Kissimmee, FL
  • NPI 1295181790
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1275592040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 E OAK ST STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-847-8000",
            "fax_number": "407-847-6773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 E OAK ST STE B",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347444575",
            "telephone_number": "407-847-8000",
            "fax_number": "407-847-6773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSUR",
        "first_name": "JUSTIN",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "DMD. FAGD, MBA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN16372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karr and Kornberg Orthopaedic Associates, MD, PA
• Michael A Karr, MD
• Suraiya A Kasu, BDS
• Edward J Kata Jr., M.D
• Amrita Kaur Kataria, LMHC
• Vinay K Katukuri, MD
• David James Katz
• Jeffrey Kenneth Katz, MD
• Lackson Msoba Kaunda, APRN
• Rupinder Kaur, M.D.

• General Practice Dentistry in Kissimmee, FL
• Providers in Kissimmee, 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 9, 2024; 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.

Verify at the official NPI Registry.