Individual provider Active NPI

Frank L Kuzmin, DMD

  • General Practice Dentistry
  • Farmington, CT
National Provider Identifier
1295979094
Registry record updated Sep 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8102 Issued in CT
Practice address
218 Main St
Farmington, CT 06032-2959
Phone
(860) 470-3660
Fax
(860) 489-4346
NPI assigned
Apr 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2023

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 8102 CT Primary

Addresses

Primary practice location

218 Main St
Farmington, CT 06032-2959

Mailing address

218 Main St
Farmington, CT 06032-2959
Phone (860) 470-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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

Enrollment IDStateProvider typePAC IDDetails
I20160104001540 CT Order and Referring Only - DentistPractitioner - Dentist 1759683055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8102MAMDClinical Psychologist
8102CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695859200000",
    "number": "1295979094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322959",
            "telephone_number": "860-470-3660",
            "fax_number": "860-489-4346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 MAIN ST",
            "city": "FARMINGTON",
            "state": "CT",
            "postal_code": "060322959",
            "telephone_number": "860-470-3660",
            "fax_number": "860-489-4346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMIN",
        "first_name": "FRANK",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-23",
        "last_updated": "2023-09-28",
        "certification_date": "2023-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "8102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington, CT

Sources for this page

Verify at the official NPI Registry.