Individual provider

David Prusakowski, DMD

Endodontics Dentist Medicare enrolled

David Prusakowski, DMD is a provider specialising in Endodontics in Boca Raton, FL, registered under NPI 1174739361. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 9291 GLADES RD STE 301, Boca Raton, FL 33434. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

9291 GLADES RD STE 301, Boca Raton, FL 33434 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
DN18422 FL Endodontics primary
DS035107 PA Dentist
053268-1 NY Endodontics

Licences are recorded in 3 states: FL, PA, NY. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.

Medicare (PECOS)
Status
Approved
Provider type
Order And Referring Only - Dentist
PAC ID
4284928946
Enrollment ID
I20160803002872

Medicare enrolment is recorded as approved under the provider type Order And Referring Only - Dentist. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

Licensed in 3 states

This provider holds licences in 3 states: Florida, New York and Pennsylvania. The practice address on file is in Boca Raton, FL, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.

FL Florida practice address
Licence
DN18422
Specialty
Endodontics
Verify with the FL board →
NY New York
Licence
053268-1
Specialty
Endodontics
Verify with the NY board →
PA Pennsylvania
Licence
DS035107
Specialty
Dentist
Verify with the PA board →

Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.

What Endodontics covers

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NUCC Health Care Provider Taxonomy, code 1223E0200X
Dental Providers Dentist Endodontics

All registered taxonomy codes

This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
1223E0200X Endodontics Endodontics DN18422 FL primary
122300000X Dentist DS035107 PA
1223E0200X Endodontics Endodontics 053268-1 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1174739361 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateMay 15, 2007
Last updatedJun 4, 2009
StatusActive
Sole proprietorNo
CredentialDMD
Practice address 9291 GLADES RD STE 301
Boca Raton, FL 33434
(973) 954-1394
This record was last updated on Jun 4, 2009, roughly 17 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1174739361 passes the NPI check digit test The final digit 1 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 7 4 7 3 9 3 6
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 5 4 5 3 9 3 3

Sum = 59 · next multiple of 10 = 60 · check digit = 1 · actual last digit = 1

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1174739361?
NPI 1174739361 is the National Provider Identifier assigned to David Prusakowski, DMD in Boca Raton, FL. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Endodontics cover?
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries…
How do I contact David Prusakowski, DMD?
The phone number on file with NPPES is (973) 954-1394, last updated Jun 4, 2009. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does David Prusakowski, DMD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1174739361 a valid number?
Yes. 1174739361 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.