Individual provider Active NPI

Michelle Kuznia, D.D.S.

  • General Practice Dentistry
  • Fort Lauderdale, FL
National Provider Identifier
1699220285
Registry record updated May 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN26644 Issued in FL
Practice address
551 N Federal Hwy Ste 900
Fort Lauderdale, FL 33301-2559
Phone
(313) 247-5406
NPI assigned
Aug 24, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 3, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 2901021907 MI
General Practice Dentistry 1223G0001X 2901021907 MI
General Practice Dentistry 1223G0001X 00203903 CO
General Practice Dentistry 1223G0001X DN26644 FL Primary

Addresses

Primary practice location

551 N Federal Hwy Ste 900
Fort Lauderdale, FL 33301-2559

Mailing address

551 N Federal Hwy Ste 900
Fort Lauderdale, FL 33301-2559
Phone (313) 247-5406

Other practice location 1

7025 Sheridan Blvd Ste 200
Westminster, CO 80003
Phone (303) 427-4001

Other practice location 2

7101 Hoff St Bldg 9240
USA Dental Activity
Fort Benning, GA 31905-5645
Phone (706) 544-3103

Other practice location 3

7101 Hoff St Bldg 9240
USA Dental Activity
Fort Benning, GA 31905-5645
Phone (706) 544-3103

Other identifiers 1

IdentifierTypeStateIssuer
00203903OtherCOCOLORADO DENTIST LICENSE

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
2901021907MIMDDentist
00203903COMDGeneral Practice Dentistry
DN26644FLMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Hidden Lake Dental Group, LLP General Practice Past Accepting new patients

Networks

  • Freedom Health HMO Network

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": "1471996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651536000000",
    "number": "1699220285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY STE 900",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "313-247-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 N FEDERAL HWY STE 900",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012559",
            "telephone_number": "313-247-5406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7025 Sheridan Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "80003",
            "country_code": "US",
            "telephone_number": "303-427-4001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Hoff St Bldg 9240",
            "address_2": "USA DENTAL ACTIVITY",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-3103",
            "fax_number": "706-544-1933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7101 Hoff St Bldg 9240",
            "address_2": "USA DENTAL ACTIVITY",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055645",
            "country_code": "US",
            "telephone_number": "706-544-3103",
            "fax_number": "706-544-1933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZNIA",
        "first_name": "MICHELLE",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-24",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MI",
            "license": "2901021907",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901021907",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "00203903",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN26644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO DENTIST LICENSE",
            "identifier": "00203903",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.