NPIMap

Organization Active NPI

Richard M Kernagis DMD PA

Doing business as kernagis dental excellence

  • Dentist
  • Tampa, FL
National Provider Identifier
1760693857
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
15191 Issued in FL
Legal business name
RICHARD M KERNAGIS DMD PA
Doing business as
kernagis dental excellence
Practice address
2001 W Busch Blvd
Suite C
Tampa, FL 33612-7517
Phone
(813) 932-3940
Fax
(813) 933-6277
NPI assigned
May 24, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard Michael Kernagis, DMDNPI 1174741029
Title
President
Phone
(813) 932-3940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 15256 FL
Dentist 122300000X 15191 FL Primary

Addresses

Primary practice location

2001 W Busch Blvd
Suite C
Tampa, FL 33612-7517

Mailing address

2001 W Busch Blvd
Suite C
Tampa, FL 33612-7517
Phone (813) 932-3940

Other names 1

  • kernagis dental excellence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Excellence at Fishhawk3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760693857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 W BUSCH BLVD",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127517",
            "telephone_number": "813-932-3940",
            "fax_number": "813-933-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 W BUSCH BLVD",
            "address_2": "SUITE C",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336127517",
            "telephone_number": "813-932-3940",
            "fax_number": "813-933-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD M KERNAGIS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KERNAGIS",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "813-932-3940",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "15256",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "15191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kernagis dental excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.