CATHERINE ALEXANDRA KOUBEK
NPI 1730619594
Dentist in Williston, FL

Q: 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.

Q: What is Catherine Koubek's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Catherine Koubek was last updated on October 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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: August 09, 2026.

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

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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

Phone(352) 528-2447

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

630 N MAIN ST, Williston, FL 32696

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Secondary Practice Location 1

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.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.

POLLY FLAXMAN DMD

Dentist