Kurt E Friedman, D.D.S., M.S.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

DN0006797 Issued in FL

Practice address

100 NW 82ND Ave
Suite 101-102
Plantation, FL 33324-7809

Phone

(954) 475-9840

Fax

(954) 370-0500

NPI assigned

May 1, 2006

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 3

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

Specialty

Oral Surgery

Education

Virginia Commonwealth University, School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oral Facial Reconstruction and Implant Center of S. Florida Inc.Group PAC ID 4880645787, 6 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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 and National Provider Directory roles.

• Oral Facial Reconstruction & Implant Center of S. Florida Inc.

  • Specialist
  • Plantation, FL
  • NPI 1972703619
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1477511491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5531 N. UNIVERSITY DRIVE",
            "address_2": "SUITE 104",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330674649",
            "telephone_number": "954-227-4892",
            "fax_number": "954-227-4894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 NW 82ND AVE",
            "address_2": "SUITE 101-102",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333247809",
            "telephone_number": "954-475-9840",
            "fax_number": "954-370-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "KURT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "FL",
            "license": "DN0006797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "59-2043705",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "074683500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "DN0006797",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Jay Freimark, MD
• Erica Kailee Freitas, DO
• Fresh Start, Inc.
• Michelle Friedland, LCSW
• Lisa Friedman Jabick, MSW, LCSW
• Madelina C Friedman, ARNP
• Ronald Friedman, MD
• Michael Jay Friend, DMD
• Frontline RX Pharmacy LLC
• Joshua Michael Frost, MD

• Oral and Maxillofacial Surgery (Dentist) in Plantation, FL
• Providers in Plantation, FL by specialty
• Oral and Maxillofacial Surgery (Dentist) in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.