Kristen Michelle Kudrewicz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5575 Issued in NV

Practice address

8430 Farm Rd
Ste. 120
Las Vegas, NV 89131-8166

Phone

(702) 732-1010

Fax

(702) 658-6832

NPI assigned

Sep 10, 2007

Last updated

Aug 3, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1189382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470182400000",
    "number": "1467647842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 S TONOPAH DR",
            "address_2": "STE. 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064043",
            "telephone_number": "702-291-2031",
            "fax_number": "702-366-1483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8430 FARM RD",
            "address_2": "STE. 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891318166",
            "telephone_number": "702-732-1010",
            "fax_number": "702-658-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUDREWICZ",
        "first_name": "KRISTEN",
        "middle_name": "MICHELLE",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-10",
        "last_updated": "2016-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NV",
            "license": "5575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1467647842",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chelsea Amanda Kucera
• Deborah Anne Kuch
• John H Kucher
• Nataliia Kuchyn
• Gabrielle Christa Kuczmarski, PT
• Maisha I Kudumu-Jones, MS, CADC-I
• Evelyn Christi Kue
• Aaron Harris Kuehl, PA-C
• Andrew Joseph Kuei, M.D.
• Maureen Elizabeth Kuentzel-Culpepper, B.S., QMHA

• General Practice Dentistry in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• General Practice Dentistry in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2016; 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.