Active NPI
John William Kachurak, D.M.D.
- General Practice Dentistry
- Quakertown, PA
National Provider Identifier
1205901048
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS-031307-L
- Practice address
- 522 Juniper St
Quakertown, PA 18951-1593 - Phone
- (215) 538-0788
- Fax
- (215) 536-4694
- NPI assigned
- Nov 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS-031307-L | PA | Primary |
Addresses
Primary practice location
522 Juniper St
Quakertown, PA 18951-1593
Mailing address
522 Juniper St
Quakertown, PA 18951-1593
Phone (215) 538-0788
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS-031307-L | PA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667520000000",
"number": "1205901048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 JUNIPER ST",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511593",
"telephone_number": "215-538-0788",
"fax_number": "215-536-4694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 JUNIPER ST",
"city": "QUAKERTOWN",
"state": "PA",
"postal_code": "189511593",
"telephone_number": "215-538-0788",
"fax_number": "215-536-4694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KACHURAK",
"first_name": "JOHN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-21",
"last_updated": "2022-11-04",
"certification_date": "2022-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS-031307-L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Quakertown, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.