Individual provider Active NPI

Robert J Underkofler Jr., D.D.S.

  • General Practice Dentistry
  • Ocala, FL
National Provider Identifier
1912077611
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN10401 Issued in FL
Practice address
3301 SW 34TH Cir
Suite 204
Ocala, FL 34474-6621
Phone
(352) 237-5744
Fax
(352) 237-5799
NPI assigned
Nov 9, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN10401 FL Primary

Addresses

Primary practice location

3301 SW 34TH Cir
Suite 204
Ocala, FL 34474-6621

Mailing address

3301 SW 34TH Cir
Suite 204
Ocala, FL 34474-6621
Phone (352) 237-5744

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

LicenseStateTypeSpecialty
DN10401FLMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1912077611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 204",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-237-5744",
            "fax_number": "352-237-5799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 SW 34TH CIR",
            "address_2": "SUITE 204",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344746621",
            "telephone_number": "352-237-5744",
            "fax_number": "352-237-5799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERKOFLER",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN10401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocala, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.