Rebecca M Kucera, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

22569 Issued in OH

Practice address

9075 Town Centre Dr Ste 130
Broadview Heights, OH 44147-4045

Phone

(440) 838-1234

Fax

(440) 838-0980

NPI assigned

Jul 12, 2007

Last updated

Mar 11, 2020By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1619176435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9075 TOWN CENTRE DR STE 130",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474045",
            "telephone_number": "440-838-1234",
            "fax_number": "440-838-0980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9075 TOWN CENTRE DR STE 130",
            "city": "BROADVIEW HEIGHTS",
            "state": "OH",
            "postal_code": "441474045",
            "telephone_number": "440-838-1234",
            "fax_number": "440-838-0980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "REBECCA",
        "middle_name": "M",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30022569",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "OH",
            "license": "22569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Michael Kotlyn, CRNA
• Jacqueline Marie Kovach
• Emiliya Krichbaum, R.N
• Matthew Kubalski, PT, DPT
• Grace Kubera
• Kamsin Kumar, PHARMACIST
• Laboratory Corporation of America Holdings
• Raymond Lakner
• Jamie Anne-Marie Lard, DNP
• Hui-Jin Lee, D.D.S., M.S.D.

• Pediatric Dentistry in Broadview Heights, OH
• Providers in Broadview Heights, OH by specialty
• Pediatric Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.