Individual provider Active NPI

Robert O Cuckler, DDS

  • General Practice Dentistry
  • Homestead, FL
National Provider Identifier
1619040094
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN7230 Issued in FL
Practice address
311 NE 8TH St
Suite 107
Homestead, FL 33030-4738
Phone
(305) 245-3144
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN7230 FL Primary

Addresses

Primary practice location

311 NE 8TH St
Suite 107
Homestead, FL 33030-4738

Mailing address

311 NE 8TH St
Suite 107
Homestead, FL 33030-4738
Phone (305) 245-3144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN7230FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Nutridentist General Practice PastSince Aug 14, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619040094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "address_2": "SUITE 107",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "305-245-3144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 NE 8TH ST",
            "address_2": "SUITE 107",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330304738",
            "telephone_number": "305-245-3144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUCKLER",
        "first_name": "ROBERT",
        "middle_name": "O",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN7230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Homestead, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.