Kutztown Dental Care

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KUTZTOWN DENTAL CARE

Doing business as

Kutztown Dental Center

Practice address

9181 Academy Rd Apt 104
Philadelphia, PA 19114-2708

Phone

(167) 994-6505

NPI assigned

Jun 24, 2024

Last updated

Jun 24, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Nikleshkumar Patel, DMDNPI 1902238934

Title

Owner

Phone

(267) 994-6505

Specialties & licenses 1

Addresses

Other names 1

• Kutztown Dental Center Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nikleshkumar Patel, DMD

  • Dentist
  • Philadelphia, PA
  • NPI 1902238934
  NPD Authorized official

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

{
    "created_epoch": "1719187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719187200000",
    "number": "1316781495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9181 ACADEMY RD APT 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9181 ACADEMY RD APT 104",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191142708",
            "telephone_number": "167-994-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTZTOWN DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-24",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-23",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "NIKLESHKUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-994-6505",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kutztown Dental Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Minecci Kutney, PHARM.D., R.PH.
• Lindsay Kutschman
• Caroline Rachel Kuttler, LPC
• Anna Kutys, PA-C
• Sara Kutz
• Sarah Kuwik, LCSW
• Richard Kuzela, C.O.T.A.
• Maryann Kuzma, MD
• Nicholas Christopher Kuzma, M.D.
• Ivan Kuznetsov, MD, PHD

• General Practice Dentistry in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; 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.