Individual provider Active NPI

Mark Kubiliun, D.D.S.

  • Dentist
  • Jupiter, FL
National Provider Identifier
1659629426
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 19956 Issued in FL
Practice address
1317 W Indiantown Rd
Suite 200
Jupiter, FL 33458-3907
Phone
(561) 316-4260
NPI assigned
Aug 27, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 19956 FL Primary

Addresses

Primary practice location

1317 W Indiantown Rd
Suite 200
Jupiter, FL 33458-3907

Mailing address

131 Behring Way
Jupiter, FL 33458-1608
Phone (305) 788-5481

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
DN 19956FLMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Kubiliun DDS PA CurrentSince Feb 2, 2020 Accepting new patients
Sleep Well Palm Beach LLC Dentist Past Accepting new patients

Locations

1317 W Indiantown Rd
Ste 200
Jupiter, FL 33458
Phone (561) 316-4260

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": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1659629426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 BEHRING WAY",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334581608",
            "telephone_number": "305-788-5481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 W INDIANTOWN RD",
            "address_2": "SUITE 200",
            "city": "JUPITER",
            "state": "FL",
            "postal_code": "334583907",
            "telephone_number": "561-316-4260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBILIUN",
        "first_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-08-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 19956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jupiter, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.