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Daniel Kuruvilla

Dentist - Pediatric Dentistry β€’ Yulee, FL

Active NPI 1902482003 Individual Practitioner Male Practitioner
Practice location in NPPES

463725 State Road 200 Ste 3
Yulee, FL 320978671

Call 9045849004 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

463725 State Road 200 Ste 3

Yulee, FL 320978671

Telephone 9045849004
Fax 9043472611
Organization at the Same NPPES Address or Phone
Bright Smiles Pediatric Dentistry Nassau Llc Facility NPI 1710595509

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Saint Johns, FL. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

What Public CMS Data Show

Dentist - Pediatric Dentistry: NPPES taxonomy is a reported classification, not proof of board certification.

Industry payments (Open Payments)

Fewer than 11 payment records totaling $14.37 in 2024

Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.

These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.

General: payments not tied to research, such as meals, travel, consulting or speaking fees.

A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.

Source: CMS Open Payments, program year 2024.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Yulee and Florida

1 active clinicians are listed under Dentist - Pediatric Dentistry with a practice address in Yulee, FL (673 in Florida).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2024

Program year 2024 (payments made January 1 – December 31, 2024): fewer than 11 records totaling $14.37.

Manufacturer Payment Nature Product Type Amount ($)
Philips North America LLC
Food and Beverage
Cash or cash equivalent
(3099) Power Toothbrush Und General $14.37

Source: CMS Open Payments, program year 2024, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2021-08-08
Dentist - Pediatric Dentistry Primary Specialty

NUCC Taxonomy Code: 1223P0221X

License # reported to NPPES FL DN26484

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Florida Department of Health Medical Quality Assurance.
Look Up on State Board Site

Secondary Practice Locations

196 Everest Ln Ste 1

Saint Johns, FL 322594103

Phone: 9045849004

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
πŸ“
Updated Practice Location September 01, 2023

Registered at 463725 STATE ROAD 200 STE 3, YULEE, FL 320978671 (Tel: 9045849004)

πŸ“
Updated Business Mailing Address September 01, 2023

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913

βœ…
NPI Profile Active March 20, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 20, 2021

Registered at 625 ELMWOOD AVE, ROCHESTER, NY 146202913 (Tel: 5852755051)

πŸ“
Business Mailing Address (Initial Record) March 20, 2021

Registered at 8392 OLD TRAFFORD CT, WILLIAMSVILLE, NY 142212938 (Tel: 7164720324)

πŸ‘€
Provider Name / Credentials (Initial Record) March 20, 2021

Recorded as DANIEL KURUVILLA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 20, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 20, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1902482003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 20, 2021
Last Update: September 01, 2023
Sole Proprietor: No

Mailing Address

625 Elmwood Ave

Rochester, NY 146202913

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.