Active NPI
Dmitry Kucher, DDS
- Dentist
- Lodi, NJ
National Provider Identifier
1285706606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Practice address
- 345 Passaic Ave
1St FL
Lodi, NJ 07644-1525 - Phone
- (973) 446-0620
- Fax
- (973) 446-0620
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | NJ | Primary |
Addresses
Primary practice location
345 Passaic Ave
1St FL
Lodi, NJ 07644-1525
Mailing address
93 Home Place
1St FL
Lodi, NJ 07644
Phone (973) 446-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22DI0200300 | NJ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Senior Care Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Dentist
- Lodi, NJ
- NPI 1356413777
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285706606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "93 HOME PLACE",
"address_2": "1ST FL",
"city": "LODI",
"state": "NJ",
"postal_code": "07644",
"telephone_number": "973-446-0620",
"fax_number": "973-446-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "345 PASSAIC AVE",
"address_2": "1ST FL",
"city": "LODI",
"state": "NJ",
"postal_code": "076441525",
"telephone_number": "973-446-0620",
"fax_number": "973-446-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUCHER",
"first_name": "DMITRY",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lodi, NJ
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.