Walter Joseph Kucaba, DDS, MS

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

0218 PERIO Issued in SC

Practice address

151 Dillon Dr
Spartanburg, SC 29307-1017

Phone

(864) 585-0468

Fax

(864) 585-0469

NPI assigned

Apr 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Master of Science

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Walter J Kucaba, DDS, Ms, PA

  • Oxygen Equipment & Supplies (DME)
  • Spartanburg, SC
  • NPI 1083910988
  NPD (past) Authorized official
• Allendale County Hospital Board

  • Rural Health Clinic/Center
  • Allendale, SC
  • NPI 1407906878
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1124083043",
    "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": {
        "last_name": "KUCABA",
        "first_name": "WALTER",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "SC",
            "license": "0218 PERIO",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIALITY LICENSE",
            "identifier": "0218 PERIO",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Catherine Joan Kreiser, M.D.
• Delia Kreismer, DC
• Tracy Lynn Krout-Watson, PSY.S., NCSP
• Karin Krussig, FNP
• Christine Gordineer Kryger, NP
• Rupert Eugene Kuhne III, MDIV EDS PSYD LMFT
• Kevin Kulik, PHARMD
• Kulka Kares, LLC
• Swati Kulkarni, P.T.
• Devika Kumar, PT, DPT

• Periodontics in Spartanburg, SC
• Providers in Spartanburg, SC by specialty
• Periodontics in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.