Neha Pal Kuthiala, D.D.S

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3061334 Issued in MI

Practice address

11949 Southcrest LN
Pineville, NC 28134-9132

Phone

(313) 330-6160

NPI assigned

May 23, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

State licenses

Practice roles

Locations

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.

• Pristine Dental PLLC

  • General Practice Dentistry
  • Novi, MI
  • NPI 1083339717
  NPD Authorized official

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

{
    "created_epoch": "1337731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337731200000",
    "number": "1215297288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11949 SOUTHCREST LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349132",
            "telephone_number": "313-330-6160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11949 SOUTHCREST LN",
            "city": "PINEVILLE",
            "state": "NC",
            "postal_code": "281349132",
            "telephone_number": "313-330-6160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTHIALA",
        "first_name": "NEHA",
        "middle_name": "PAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "3061334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tanya Ward Keeter
• Kati Berlin Kendrick, M.S. ,OTR/L
• Samantha Rae Koss, MS, CCC-SLP
• Christina Crawford Kub, PT
• Chad Kuntz
• Sunanda H Lachake
• Sharon Marie Lankes
• Deven Laquay
• Omolara Layeni, PA-C
• Whitney Lecky

• General Practice Dentistry in Pineville, NC
• Providers in Pineville, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2012; 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.