Individual provider Active NPI

Richard Rol;and Kuechle, D.D.S.

  • General Practice Dentistry
  • Santa Cruz, CA
National Provider Identifier
1144245036
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
22161 Issued in CA
Practice address
550 Water St
BLDG. J-2
Santa Cruz, CA 95060-4124
Phone
(831) 427-2353
Fax
(831) 427-1095
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22161 CA Primary

Addresses

Primary practice location

550 Water St
BLDG. J-2
Santa Cruz, CA 95060-4124

Mailing address

550 Water St
BLDG. J-2
Santa Cruz, CA 95060-4124
Phone (831) 427-2353

Other identifiers 1

IdentifierTypeStateIssuer
22161OtherCADENTAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1144245036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WATER ST",
            "address_2": "BLDG. J-2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604124",
            "telephone_number": "831-427-2353",
            "fax_number": "831-427-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WATER ST",
            "address_2": "BLDG. J-2",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950604124",
            "telephone_number": "831-427-2353",
            "fax_number": "831-427-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUECHLE",
        "first_name": "RICHARD",
        "middle_name": "ROL;AND",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "22161",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LICENSE",
            "identifier": "22161",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Cruz, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.