M. Kucera, DDS, Inc.

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

59153 Issued in CA

Legal business name

M. KUCERA, DDS, INC.

Practice address

150 Gateway Dr Ste 101
Lincoln, CA 95648-3316

Phone

(916) 251-0170

NPI assigned

Mar 23, 2018

Organization subpart

No

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

Specialties & licenses 1

Addresses

Other names 1

• Caring Tree Children's Dentistry Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michelle Kucera, DDS

  • Pediatric Dentistry
  • Grass Valley, CA
  • NPI 1376612622
  NPD Authorized official
• Terry Ross Horlick, D.M.D.

  • Pediatric Dentistry
  • Grass Valley, CA
  • NPI 1417994260
  NPD (past)

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

{
    "created_epoch": "1521763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521763200000",
    "number": "1669976684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1061 E MAIN ST STE 101",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455724",
            "telephone_number": "530-272-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 GATEWAY DR STE 101",
            "city": "LINCOLN",
            "state": "CA",
            "postal_code": "956483316",
            "telephone_number": "916-251-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M. KUCERA, DDS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-23",
        "last_updated": "2018-03-23",
        "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": "193400000X SINGLE SPECIALTY  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"
        },
        {
            "organization_name": "Caring Tree Children's Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicolas Sean Losenicky
• Lumina Behavioral Services, LLC
• Raquel Karina Luna, ACSW
• Ryan Michael Lund, P.T.
• Andrea Ly, PHARMD
• Julia Rosemarie Madison, MS
• Reashelle Magpayo
• Daniel Merritt Makieve, M.D.
• Elvira Sylvia Marez
• Jeffrey B Martin, DDS

• Pediatric Dentistry in Lincoln, CA
• Providers in Lincoln, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.