Loving Care Dental LLC

Primary specialty

DentistTaxonomy code 122300000X

License

22DI02003000 Issued in NJ

Legal business name

LOVING CARE DENTAL LLC

Practice address

93 Home PL
1 St Floor
Lodi, NJ 07644-1513

Phone

(973) 365-0189

Fax

(973) 365-0534

NPI assigned

Oct 20, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Dmitry Kucher, DDS

Title

Owner

Phone

(973) 444-0909

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1319068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319068800000",
    "number": "1225313315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 HOME PL",
            "address_2": "1 ST FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441513",
            "telephone_number": "973-365-0189",
            "fax_number": "973-365-0534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 HOME PL",
            "address_2": "1 ST FLOOR",
            "city": "LODI",
            "state": "NJ",
            "postal_code": "076441513",
            "telephone_number": "973-365-0189",
            "fax_number": "973-365-0534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE DENTAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-20",
        "last_updated": "2011-10-20",
        "status": "A",
        "authorized_official_last_name": "KUCHER",
        "authorized_official_first_name": "DMITRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "973-444-0909",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02003000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7856300",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 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.