Louis Rembert Kubala, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

3696 Issued in SC

Practice address

US Dental Activity
BLDG 171 4TH Inner Loop Rd
Fort Irwin, CA 92310-1507

Phone

(760) 380-3166

Fax

(760) 380-4996

NPI assigned

Jan 23, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1841270030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3955 DRINKWATER STREET",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101507",
            "telephone_number": "904-349-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DENTAL ACTIVITY",
            "address_2": "BLDG 171 4TH INNER LOOP RD",
            "city": "FORT IRWIN",
            "state": "CA",
            "postal_code": "923101507",
            "telephone_number": "760-380-3166",
            "fax_number": "760-380-4996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUBALA",
        "first_name": "LOUIS",
        "middle_name": "REMBERT",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "3696",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "SC",
            "license": "3696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara Jeannette King, RN
• Brittany M Kirch, DO
• Kathyrn Elisabeth Klawitter, R.N.
• Youngkwang Ko
• Claudia C Koss, LPN
• Janet Joann Latimer
• Gregory Edward Le, DMD
• Isabel Moreno Leavitt, R.N.
• Joann Ledoux, CRNA
• Frances Marie Lee

• Orthodontics and Dentofacial Orthopedics Dentistry in Fort Irwin, CA
• Providers in Fort Irwin, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.