Individual provider Active NPI

Mark Andrew Kuzma Jr., DMD

  • Dentist
  • Glasgow, KY
National Provider Identifier
1982053153
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
9763 Issued in KY
Practice address
501 W Main St
Suite B
Glasgow, KY 42141-1740
Phone
(270) 651-2638
NPI assigned
Jun 8, 2016
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 9763 KY Primary

Addresses

Primary practice location

501 W Main St
Suite B
Glasgow, KY 42141-1740

Mailing address

501 W Main St
Suite B
Glasgow, KY 42141-1740
Phone (270) 651-2638

Other practice location 1

625 Three Springs Rd
Bowling Green, KY 42104-7528
Phone (270) 782-5115

Other identifiers 1

IdentifierTypeStateIssuer
9763OtherKYDENTIST

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
9763KYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1465344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1982053153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 W MAIN ST",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411740",
            "telephone_number": "270-651-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 W MAIN ST",
            "address_2": "SUITE B",
            "city": "GLASGOW",
            "state": "KY",
            "postal_code": "421411740",
            "telephone_number": "270-651-2638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Three Springs Rd",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "KY",
            "postal_code": "421047528",
            "country_code": "US",
            "telephone_number": "270-782-5115",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "MARK",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-08",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "9763",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTIST",
            "identifier": "9763",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glasgow, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; 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.