Lindsay Kulczynski, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

DN20659 Issued in FL

Practice address

530 Howard St E
Live Oak, FL 32064-3306

Phone

(386) 362-6800

Fax

(386) 364-5199

NPI assigned

Aug 26, 2014

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Smile Designs by Dr. Charlotte Gerry L/O

  • General Practice Dentistry
  • Live Oak, FL
  • NPI 1104090943
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409011200000",
    "number": "1679973739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 E HOWARD STREET",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "32064",
            "telephone_number": "386-362-6800",
            "fax_number": "386-364-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HOWARD ST E",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320643306",
            "telephone_number": "386-362-6800",
            "fax_number": "386-364-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KULCZYNSKI",
        "first_name": "LINDSAY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2014-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN20659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie L Owens OD PA
• Just a Poke Mobile Labs LLC
• Lisa W. Keep, MD, MPH, FACPM
• Jasmin Kelly
• Melanie Lane Key, ARNP
• Jennifer Lacasse
• Joy Lamb, PHARMD
• Lawrence a. Stranch
• Dennis M Lewis, MD
• Jabari Lewis

• Dentist in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2014; 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.