Brooke Kuperavage, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS041645 Issued in PA

Practice address

5502 Hamilton Blvd
Allentown, PA 18106-9774

Phone

(610) 351-2200

Fax

(610) 351-2202

NPI assigned

May 2, 2018

Last updated

Aug 27, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Oct 21, 2024 through Oct 21, 2026

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rother Dental LLC

  • General Practice Dentistry
  • Mechanicsburg, PA
  • NPI 1841157757
  NPD (past)

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

{
    "created_epoch": "1525219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1841789245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2397 SILVANO DR",
            "city": "MACUNGIE",
            "state": "PA",
            "postal_code": "180628659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5502 HAMILTON BLVD",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181069774",
            "telephone_number": "610-351-2200",
            "fax_number": "610-351-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUPERAVAGE",
        "first_name": "BROOKE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-02",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "DS041645",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Kunkle
• Brooke H Kunsman, CRNP
• Hannah Kunsman
• Eric Scott Kuntz, M.S.
• Kaitlyn Kuntzman, DO
• Gabrielle Kuperavage
• Devin Jill Kuronya, MS, CCC-SLP
• Kenneth S Kurtz, M.D.
• Ranita E Kuryan, M.D.
• Stephanie Kurylak, M.ED

• General Practice Dentistry in Allentown, PA
• Providers in Allentown, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.