Mark Steven Kuchta, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

101 S Washington St
135
Park Ridge, IL 60068-4200

Phone

(847) 696-3240

Fax

(847) 696-0588

NPI assigned

Apr 28, 2006

Sex

Male

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

Enrolled in IL

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grauer-Kuchta Dental As

  dba Complete Health Dentistry of Park Ridge

  • Dentist
  • Park Ridge, IL
  • NPI 1932319423
  NPD Authorized official

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285691584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W. PROSPECT",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "60107",
            "telephone_number": "630-483-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "address_2": "135",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684200",
            "telephone_number": "847-696-3240",
            "fax_number": "847-696-0588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHTA",
        "first_name": "MARK",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Krol, DO
• Rick D Kronberg, LCSW
• Sandra Kroschel
• Eric C Krueger, M.D.
• KT Dental PC
• Sue Kuchta, PT, DPT
• Agata Kuczynska, M.A
• Malwina Anna Kuczynska, M.D.
• Tiffanie M Kuhn Johnson, APN
• Jasper Kuhn, MD

• General Practice Dentistry in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.