David Michael Kushner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2901017225 Issued in MI

Practice address

2934 W Ina Rd
Tucson, AZ 85741-2110

Phone

(520) 742-9500

Fax

(520) 877-9800

NPI assigned

Sep 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sonoma Dental Group, P.C.

  • General Practice Dentistry
  • Fenton, MI
  • NPI 1225346968
  NPD (past)

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

{
    "created_epoch": "1157500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1265535280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 OWEN ROAD",
            "address_2": "SUITE A",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "48430",
            "telephone_number": "810-629-7682",
            "fax_number": "810-629-0158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2934 W INA RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857412110",
            "telephone_number": "520-742-9500",
            "fax_number": "520-877-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSHNER",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-06",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "2901017225",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D5599",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4814563",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amber Nichole Kurtz, MD
• Kelly Jo Kurtz, LMFT
• Tracey Lynn Kurtzman, MD
• William Kusek, O.D.
• Sarah Kuser, NP-C
• May Grace Kushner, NP
• Michael Charles Kushner, M.D., M.P.H.
• Barry Kusman, M.D.
• Hussam Ibrahim Kutbi, PHARM.D.
• Randa M Kutob, MD

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2015; 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.