Active NPI
Yomaly Madera Kuhns, DDS
- General Practice Dentistry
- Inverness, FL
National Provider Identifier
1780183632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23141
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190118001421 | FL | Order and Referring Only - Dentist | 8426394008 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN23141 | FL | MD | Dentist |
| 23141 | FL | MD | Physical 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; 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.