CATHERINE ALEXANDRA KOUBEK
NPI 1730619594
Dentist in Williston, FL

Active since June 14, 2017PECOS Enrolled
630 N MAIN ST, WILLISTON, FL 32696(352) 528-2447(352) 755-3078 Get Directions Write a Review

NPPES record last updated: October 11, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 11, 2018, Jun 14, 2017 (2 updates tracked since 2017).

About Catherine Alexandra Koubek NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CATHERINE ALEXANDRA KOUBEK (NPI 1730619594) is an individual dentist in Williston, Florida, licensed in Florida (DN22911) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gainesville.

NPPES Registry Identity

NPI1730619594
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameCATHERINE ALEXANDRA KOUBEK
Location Address630 N MAIN STWilliston, FL 32696-1705
Mailing Address919 Nw 42nd TerGainesville, FL 32605-4767 · (321) 917-8234
Fax(352) 755-3078
Sole ProprietorNo
Enumeration DateJune 14, 2017
Last NPPES UpdateOctober 11, 20182 updates tracked since enumeration
NPI 1730619594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in FL · DN22911
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

630 N MAIN ST, Williston, FL 32696

Secondary Practice Location 1

Location 11601 SW Archer RdGainesville, FL 32608-1135 · Phone (352) 376-1611

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Catherine Alexandra Koubek is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32696 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$70.04 typical visit price
range $17.57 – $139.16
Typical copayment $17.51 (range $4.39 – $34.79)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
630 N MAIN ST
WILLISTON, FL 32696
Physician Assistant
630 N MAIN ST
WILLISTON, FL 32696
Psychologist (Clinical)
630 N MAIN ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
630 N MAIN ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
630 N MAIN ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
630 N MAIN ST
WILLISTON, FL 32696
Nurse Practitioner (Family)
630 N MAIN ST
WILLISTON, FL 32696
Clinic/Center (Federally Qualified Health Center (FQHC))
630 N MAIN ST
WILLISTON, FL 32696

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Catherine Koubek's NPI number?

The NPI number for Catherine Koubek is 1730619594. It was assigned to this individual provider in the NPPES registry on June 14, 2017.

Where is Catherine Koubek located?

Catherine Koubek practices at 630 N Main St, Williston, FL 32696. The listed phone number is (352) 528-2447.

What is Catherine Koubek's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Catherine Koubek enrolled in Medicare?

Yes. Catherine Koubek is registered in the Medicare PECOS enrollment system.

What insurance does Catherine Koubek accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Catherine Koubek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Catherine Koubek was last updated on October 11, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.