Richard Glenn Kantwill, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DN14152 Issued in FL

Practice address

3942 Doral Dr
Tampa, FL 33634-7416

Phone

(813) 545-2812

NPI assigned

May 30, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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.

• Froug Sun City Dental Center

  • General Practice Dentistry
  • Ruskin, FL
  • NPI 1609077270
  NPD (past)

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663718400000",
    "number": "1710188487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3942 DORAL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347416",
            "telephone_number": "813-545-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3942 DORAL DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347416",
            "telephone_number": "813-545-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTWILL",
        "first_name": "RICHARD",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-30",
        "last_updated": "2022-09-21",
        "certification_date": "2022-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "164574.0000",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN14152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert John Kanser, PH.D.
• Emily Kant
• Richard M Kanter, D.M.D.
• Kantilal N. Bhadja, MD
• Lawrence J Kantrowitz, M.D.
• Mark G Kantzler, DO
• Saitejaswi Kanuri, DO
• Lauren Ashley Kanwischer, APRN
• Mukesh A Kapadia
• Nikesh Rohit Kapadia, M.D.

• Dentist in Tampa, FL
• Providers in Tampa, FL by specialty
• Dentist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.