Ronald C Kobernick, D.D.S., M.SC.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

8054 Issued in FL

Practice address

10601 Seminole Blvd
Largo, FL 33778-3329

Phone

(727) 397-8503

Fax

(727) 398-2679

NPI assigned

May 21, 2008

Last updated

May 21, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Precident Florida PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • Largo, FL
  • NPI 1154045599

  Periodontics

  NPD (past)
• Precident Florida PLLC

  • Oral and Maxillofacial Surgery (Dentist)
  • St Petersburg, FL
  • NPI 1609464205

  Periodontics

  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1447417936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783329",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 SEMINOLE BLVD",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337783329",
            "telephone_number": "727-397-8503",
            "fax_number": "727-398-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOBERNICK",
        "first_name": "RONALD",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.SC.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "8054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Marie Knapp, LMHC
• Rachel Knapp, RBT
• Ronald Lee Knaus, D.O.
• Tonia I Knight, RRT
• Dean Knoblach, HAS
• Nicole Lyn Koda, APRN
• Jason Bruce Kombrinck, PT
• Komo Therapy, LLC
• Konrad McCree Jr (Assisted Living of Clearwater)
• Korey Edward Koper, PA-C

• Periodontics in Largo, FL
• Providers in Largo, FL by specialty
• Periodontics in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.