Yuriy Kuchmak, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN21932 Issued in FL

Practice address

2996 Executive Drive
Unit 102
Venice, FL 34292

Phone

(941) 477-1620

Fax

(941) 477-1623

NPI assigned

Jul 27, 2016

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

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740009600000",
    "number": "1598218596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2996 EXECUTIVE DRIVE",
            "address_2": "UNIT 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-477-1620",
            "fax_number": "941-477-1623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2996 EXECUTIVE DRIVE",
            "address_2": "UNIT 102",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "34292",
            "telephone_number": "941-477-1620",
            "fax_number": "941-477-1623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHMAK",
        "first_name": "YURIY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-27",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN21932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Rose Kretschmar, MS, CCC-SLP
• Noel Krijger, MA
• Kro Holdings, LLC (Venice Spine & Disc)
• Dawn Catherine Kroencke, PHD LP
• Krzysztof Cierniak, LLC (Art of Healing PT)
• Christina Kukula, D.O.
• Elwira Ewa Kulawik, D.C.
• Kuncheria Joseph MD PA
• Mark Kunselman, DPT, PT
• Ramsay Li-Ping Kuo, MD

• General Practice Dentistry in Venice, FL
• Providers in Venice, 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 Feb 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.