Prem K Kathuria, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008196 Issued in FL

Practice address

1670 S Hwy 17/92
Longwood, FL 32750-6516

Phone

(407) 339-4700

Fax

(407) 339-7736

NPI assigned

Jun 18, 2008

Last updated

Jun 18, 2008By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Prem K Kathuria PA

  • Dentist
  • Longwood, FL
  • NPI 1922449214
  Authorized official Same address or phone

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1336300763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 S HWY 17/92",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506516",
            "telephone_number": "407-339-4700",
            "fax_number": "407-339-7736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 S HWY 17/92",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327506516",
            "telephone_number": "407-339-4700",
            "fax_number": "407-339-7736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATHURIA",
        "first_name": "PREM",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN008196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074725400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Judith Ann Kaltenbach, PA-C
• Yvonne C Kamara
• Mabanza Renee Kanama
• Praveen Kanaparti, M.D.
• Aiman Kassam-Daudaly, MA CCC-SLP
• Isabella Caterina Katz
• Michele Katz
• Robin Katzman, D.M.D.
• Brianne G Kaufholz, MFTA
• Carly Keelan, COTA/L

• General Practice Dentistry in Longwood, FL
• Providers in Longwood, 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 Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.