Individual provider Active NPI

Kenneth W Lounders, DMD

  • Dentist
  • Englewood, FL
National Provider Identifier
1932385259
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN 12106 Issued in FL
Practice address
120 N Indiana Ave
Englewood, FL 34223-2904
Phone
(941) 475-1185
Fax
(941) 473-4102
NPI assigned
Jan 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN 12106 FL Primary

Addresses

Primary practice location

120 N Indiana Ave
Englewood, FL 34223-2904

Mailing address

120 N Indiana Ave
Englewood, FL 34223-2904
Phone (941) 475-1185

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160714001598 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8224320072

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN 12106FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1200441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200441600000",
    "number": "1932385259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232904",
            "telephone_number": "941-475-1185",
            "fax_number": "941-473-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N INDIANA AVE",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342232904",
            "telephone_number": "941-475-1185",
            "fax_number": "941-473-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUNDERS",
        "first_name": "KENNETH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-01-16",
        "last_updated": "2008-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN 12106",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

Verify at the official NPI Registry.