Individual provider Active NPI

Kimmeuy Horozinski, DMD

  • General Practice Dentistry
  • Venice, FL
National Provider Identifier
1306440748
Registry record updated Feb 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN29049 Issued in FL
Practice address
1900 S Tamiami TRL
Venice, FL 34293-5001
Phone
(941) 493-7768
NPI assigned
Nov 25, 2020
Last updated
Feb 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X DH21464 FL
General Practice Dentistry 1223G0001X DN29049 FL Primary

Addresses

Primary practice location

1900 S Tamiami TRL
Venice, FL 34293-5001

Mailing address

1900 S Tamiami TRL
Venice, FL 34293-5001
Phone (941) 493-7768

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240911001966 FL Practitioner - Dentist 6002356508 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DH21464FLMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
North Florida Rural Health Corp CurrentSince Sep 1, 2024 Accepting new patients
North Florida Rural Health Corp CurrentSince Sep 1, 2024 Accepting new patients
Premier Dentistry of Sarasota, PLC General Practice PastSince Jun 1, 2024 Accepting new patients
Coast Florida P.a. PastSince Jun 22, 2021 Accepting new patients
Coast Florida P.a. PastSince Nov 1, 2020 Accepting new patients

Locations

680 Maple St
Chattahoochee, FL 32324
Phone (850) 539-4747

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.

NPI Registry JSON

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738454400000",
    "number": "1306440748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935001",
            "telephone_number": "941-493-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S TAMIAMI TRL",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342935001",
            "telephone_number": "941-493-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOROZINSKI",
        "first_name": "KIMMEUY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2025-02-02",
        "certification_date": "2025-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "FL",
            "license": "DH21464",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN29049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.