Individual provider Active NPI

Kirk Brian Juhasz, D.M.D.

  • General Practice Dentistry
  • Gainesville, FL
National Provider Identifier
1629204441
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN18647 Issued in FL
Practice address
3510 NW 43Rd St
Gainesville, FL 32606-6104
Phone
(352) 377-1705
Fax
(352) 377-1093
NPI assigned
Jun 8, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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 DN18647 FL Primary

Addresses

Primary practice location

3510 NW 43Rd St
Gainesville, FL 32606-6104

Mailing address

3510 NW 43Rd St
Gainesville, FL 32606-6104
Phone (352) 377-1705

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN18647FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Knopf and McDonald Dental Partnership General Practice Past Accepting new patients
Millhopper Family Dentistry PA General Practice Past Accepting new patients

Organizations & group practices 2

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": "1244419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244419200000",
    "number": "1629204441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3510 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066104",
            "telephone_number": "352-377-1705",
            "fax_number": "352-377-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3510 NW 43RD ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326066104",
            "telephone_number": "352-377-1705",
            "fax_number": "352-377-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUHASZ",
        "first_name": "KIRK",
        "middle_name": "BRIAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN18647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; 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.