Individual provider Active NPI

Yomaly Madera Kuhns, DDS

  • General Practice Dentistry
  • Inverness, FL
National Provider Identifier
1780183632
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
23141 Issued in FL
Practice address
2689 E Gulf to Lake Hwy
Inverness, FL 34453-3216
Phone
(562) 756-8376
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN23141 FL
General Practice Dentistry 1223G0001X 23141 FL Primary

Addresses

Primary practice location

2689 E Gulf to Lake Hwy
Inverness, FL 34453-3216

Mailing address

10162 Julia Isles Ave
Oxford, FL 34484-3811
Phone (562) 756-8376

Other practice location 1

9030 W Fort Island Trl Ste 6
Crystal River, FL 34429-8011
Phone (562) 756-8376

Other names 1

  • Yomaly Madera Torres Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20190118001421 FL Order and Referring Only - DentistPractitioner - Dentist 8426394008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN23141FLMDDentist
23141FLMDPhysical Therapy Assistant

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1780183632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10162 JULIA ISLES AVE",
            "city": "OXFORD",
            "state": "FL",
            "postal_code": "344843811",
            "telephone_number": "562-756-8376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2689 E GULF TO LAKE HWY",
            "city": "INVERNESS",
            "state": "FL",
            "postal_code": "344533216",
            "telephone_number": "562-756-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9030 W Fort Island Trl Ste 6",
            "address_purpose": "LOCATION",
            "city": "Crystal River",
            "state": "FL",
            "postal_code": "344298011",
            "country_code": "US",
            "telephone_number": "562-756-8376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUHNS",
        "first_name": "YOMALY",
        "middle_name": "MADERA",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN23141",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "23141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOMALY",
            "last_name": "MADERA TORRES",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Inverness, FL

Sources for this page

Verify at the official NPI Registry.