Renuka Kucherlapati

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

108599 Issued in CA

Practice address

230 Reservation Rd
Marina, CA 93933-3083

Phone

(831) 900-4435

NPI assigned

Feb 15, 2023

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1275230690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "478 TYLER ST",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939403081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 RESERVATION RD",
            "city": "MARINA",
            "state": "CA",
            "postal_code": "939333083",
            "telephone_number": "831-900-4435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHERLAPATI",
        "first_name": "RENUKA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "108599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline B. Kinville, PSYD
• Amber Marie Kitt
• Koushan H. Azad Professional Dental Corporation (CaliDental Marina)
• Larissa Fedra Koutakos
• Judith Frieda Krieger, MA
• David Kurtmen, M.D.
• La Cura Collective Corp.
• Sara Lama
• Kendal Lardie
• Maureen Ann Lavengood, LCSW

• General Practice Dentistry in Marina, CA
• Providers in Marina, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.