Kernagis Dental Excellence PA

Primary specialty

DentistTaxonomy code 122300000X

License

DN15191 Issued in FL

Legal business name

KERNAGIS DENTAL EXCELLENCE PA

Practice address

2001 W Busch Blvd
Suite C
Tampa, FL 33612-7517

Phone

(813) 932-3940

NPI assigned

Dec 6, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Richard M Kernagis, DMD

Title

President

Phone

(813) 932-3940

Specialties & licenses 1

Addresses

Other names 1

• KERNAGIS DENTAL EXCELLENCE Doing business as

Locations

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

{
    "created_epoch": "1386288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386288000000",
    "number": "1508297110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BUSCH BLVD",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127517",
            "telephone_number": "813-932-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BUSCH BLVD",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127517",
            "telephone_number": "813-932-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERNAGIS DENTAL EXCELLENCE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-06",
        "last_updated": "2013-12-06",
        "status": "A",
        "authorized_official_last_name": "KERNAGIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-932-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN15191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KERNAGIS DENTAL EXCELLENCE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Delaney Keown
• Vernice Kepple, CRNA
• Mary Ann Keppler, LMFT
• Lydell Kerbo
• Nancy Elizabeth Kern, C.R.N.A.
• Richard M Kernagis, DMD
• Matthew James Kernan, P.T.A
• Tyler Kernohan
• Nermine Kerollous
• Chloe Kerr

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2013; 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.