Active NPI
Ronald Hucke, DDS
- Dentist
- St Augustine, FL
National Provider Identifier
1780816405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN8386
- Practice address
- 2225 A1A S
Suite A3
St Augustine, FL 32080-2916 - Phone
- (904) 471-7300
- Fax
- (904) 471-2708
- NPI assigned
- Aug 13, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN8386 | FL | Primary |
Addresses
Primary practice location
2225 A1A S
Suite A3
St Augustine, FL 32080-2916
Mailing address
2225 A1A S
Suite A3
St Augustine, FL 32080-2916
Phone (904) 471-7300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN8386 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250121600000",
"number": "1780816405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2225 A1A S",
"address_2": "SUITE A3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320802916",
"telephone_number": "904-471-7300",
"fax_number": "904-471-2708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2225 A1A S",
"address_2": "SUITE A3",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320802916",
"telephone_number": "904-471-7300",
"fax_number": "904-471-2708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUCKE",
"first_name": "RONALD",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-13",
"last_updated": "2009-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN8386",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.