Walter J Kucaba, DDS, Ms, PA

Primary specialty

Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X

Legal business name

WALTER J KUCABA, DDS, MS, PA

Practice address

151 Dillon Dr
Spartanburg, SC 29307-1017

Phone

(864) 585-0468

Fax

(864) 585-0469

NPI assigned

Feb 10, 2011

Last updated

Mar 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Walter Joseph Kucaba, DDS, MSNPI 1124083043

Title

President

Phone

(864) 585-0468

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Walter Joseph Kucaba, DDS, MS

  • Periodontics
  • Spartanburg, SC
  • NPI 1124083043
  NPD (past) Authorized official
• Alison Llewelyn, D.M.D.

  • General Practice Dentistry
  • Spartanburg, SC
  • NPI 1184062291
  NPD (past)

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1083910988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 DILLON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071017",
            "telephone_number": "864-585-0468",
            "fax_number": "864-585-0469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DILLON DR",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071017",
            "telephone_number": "864-585-0468",
            "fax_number": "864-585-0469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALTER J KUCABA, DDS, MS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-10",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "KUCABA",
        "authorized_official_first_name": "WALTER",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "864-585-0468",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS, MS"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Wallaszek
• Steven Todd Wallenius, M.D.
• Alana Sims Walling, RD, LDN
• Heidi Elizabeth Walsh, FNP-BC
• Sean Patrick Walsh, FNP-BC
• Lucille Ellen Burns Walter, NP
• Everette Joseph Walton Jr., MD
• Sau Yin Wan, M.D.
• Tao Wang, M.D.
• Lanesia Wannamaker, BSN, RN

• Oxygen Equipment & Supplies (DME) in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Oxygen Equipment & Supplies (DME) in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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.