Joseph Brent Novak, D.M.D

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DNI5463 Issued in FL

Practice address

65 CR 542W
Bushnell, FL 33513-4515

Phone

(352) 569-0100

Fax

(352) 569-0213

NPI assigned

Oct 24, 2006

Last updated

Mar 24, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

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.

• Joseph Brent Novak, DMD,PA

  dba Bushnell Family & Cosmetic Dentistry

  • General Practice Dentistry
  • Bushnell, FL
  • NPI 1841447190
  NPD (past) Authorized official
• Bushnell Family and Cosmetic Dentistry PLLC

  • General Practice Dentistry
  • Bushnell, FL
  • NPI 1700710803
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237852800000",
    "number": "1942384508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 CR 542W",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335134515",
            "telephone_number": "352-569-0100",
            "fax_number": "352-569-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 CR 542W",
            "city": "BUSHNELL",
            "state": "FL",
            "postal_code": "335134515",
            "telephone_number": "352-569-0100",
            "fax_number": "352-569-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVAK",
        "first_name": "JOSEPH",
        "middle_name": "BRENT",
        "name_prefix": "Mr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2009-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DNI5463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah J Moyer, PHARMD.
• Diana K Mullin
• Vijaya L Nagabhairu, MD
• Raihna Maklay Newcomb, PTA
• Desirae Newell, PHARMD
• Osprey Nursing and Rehabilitation, LLC (Osprey Point Nursing Center)
• Osprey of North Florida Inc (Osprey Point Nursing Center)
• Osprey SNF Operations LLC (Osprey Point Nursing Center)
• Angel Gabriel Pagan, M. D.
• Dixie Palesch

• General Practice Dentistry in Bushnell, FL
• Providers in Bushnell, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.