Organization Active NPI

Kutuza Alexander Safonovich PLLC

  • Endodontics
  • Hickory, NC
National Provider Identifier
1659855633
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
KUTUZA ALEXANDER SAFONOVICH PLLC
Practice address
935 4TH Street Dr NE
Hickory, NC 28601-3950
Phone
(828) 409-1726
NPI assigned
Sep 17, 2018
Last updated
Sep 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Authorized official

Name
Alexander Kutuza, DMD
Title
Owner
Phone
(215) 868-9070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X NU Primary

Addresses

Primary practice location

935 4TH Street Dr NE
Hickory, NC 28601-3950

Mailing address

134 Blue Ridge TRL
Mooresville, NC 28117-8477
Phone (215) 868-9070

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537142400000",
    "number": "1659855633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 BLUE RIDGE TRL",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178477",
            "telephone_number": "215-868-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "935 4TH STREET DR NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286013950",
            "telephone_number": "828-409-1726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUTUZA ALEXANDER SAFONOVICH PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A",
        "authorized_official_last_name": "KUTUZA",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-868-9070",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.