Ana Kristina David Kubek, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

8854 Issued in KY

Practice address

455 S 4TH St
950C Starks Building
Louisville, KY 40202-2593

Phone

(502) 587-6131

Fax

(502) 584-8600

NPI assigned

Jun 18, 2009

Sex

Female

Sole proprietor

Yes

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

Enrolled in KY

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

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347321600000",
    "number": "1750518619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 S 4TH ST",
            "address_2": "950C STARKS BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022593",
            "telephone_number": "502-587-6131",
            "fax_number": "502-584-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 S 4TH ST",
            "address_2": "950C STARKS BUILDING",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022593",
            "telephone_number": "502-587-6131",
            "fax_number": "502-584-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID KUBEK",
        "first_name": "ANA KRISTINA",
        "name_prefix": "Mrs.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2012-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "8854",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IN",
            "license": "12011321A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maurice Davenport Jr.
• David a Schulte, DMD, PSC
• David B Moore, PHD, PSC
• David Geller, MD, PLLC
• David H Neustadt PSC
• David P Rouben MD PSC
• David P. Moore, M.D., PLLC
• David S Decker, MD PSC
• David T. Dodd DMD
• Andrew M Davidson, LCSW,LCADC

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2012; 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.