Organization Active NPI

Michelle Kucera, DDS, Inc.

Doing business as Caring Tree Children's Dentistry

  • Pediatric Dentistry
  • Grass Valley, CA
National Provider Identifier
1639591415
Registry record updated Jan 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
59153 Issued in CA
Legal business name
MICHELLE KUCERA, DDS, INC.
Doing business as
Caring Tree Children's Dentistry
Practice address
1061 E Main St
Ste 101
Grass Valley, CA 95945-5724
Phone
(530) 272-9026
NPI assigned
Jan 13, 2014
Last updated
Jan 13, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2014

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

Authorized official

Name
Michelle Kucera, DDSNPI 1376612622
Title
President
Phone
(530) 272-9026

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 59153 CA Primary

Addresses

Primary practice location

1061 E Main St
Ste 101
Grass Valley, CA 95945-5724

Mailing address

1061 E Main St
Ste 101
Grass Valley, CA 95945-5724

Other names 1

  • Caring Tree Children's Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

1061 E Main St
Ste 101
Grass Valley, CA 95945
Phone (530) 272-9026

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1389571200000",
    "number": "1639591415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST",
            "address_2": "STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-272-9026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHELLE KUCERA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2014-01-13",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-272-9026",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "59153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Caring Tree Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2014; 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.