Michelle Kucera, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59153 Issued in CA

Practice address

452 Brunswick Rd Ste 101
Grass Valley, CA 95945-5168

Phone

(530) 272-9026

NPI assigned

Nov 8, 2006

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

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.

• M. Kucera, DDS, Inc.

  dba Caring Tree Children's Dentistry

  • Pediatric Dentistry
  • Lincoln, CA
  • NPI 1669976684
  NPD Authorized official
• Michelle Kucera, DDS, Inc.

  dba Caring Tree Children's Dentistry

  • Pediatric Dentistry
  • Grass Valley, CA
  • NPI 1639591415
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1376612622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452 BRUNSWICK RD",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455168",
            "telephone_number": "530-272-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452 BRUNSWICK RD STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455168",
            "telephone_number": "530-272-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rene Cathleen Kronland, MD
• Robert Francis Krueger, LCSW
• Phillip Krulisky, RADT
• Presley Angelica Kennedy Lee Krutiak
• Sharal Marlena Krzyzopolski, SUDCC
• Kuldip Gill M D P C
• Ganesh Arun Kulkarni, M.D;
• Kelley Kay Kull
• Joel Kyne, CADC-II
• Stacie La Jeunesse, CPNP

• Pediatric Dentistry in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.