Individual provider Active NPI

Jennifer A. Kuracina, DDS

  • Prosthodontics
  • Orchard Park, NY
National Provider Identifier
1689833691
Registry record updated Jun 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
044646 Issued in NY
Practice address
6435 Webster Rd
Orchard Park, NY 14127-1835
Phone
(716) 662-7229
Fax
(716) 662-7263
NPI assigned
Jun 4, 2008
Last updated
Jun 4, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthodontics 1223P0700X 044646 NY Primary

Addresses

Primary practice location

6435 Webster Rd
Orchard Park, NY 14127-1835

Mailing address

6435 Webster Rd
Orchard Park, NY 14127-1835
Phone (716) 662-7229

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001001806 NY Order and Referring Only - DentistPractitioner - Dentist 7214245851

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
044646NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1212537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212537600000",
    "number": "1689833691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6435 WEBSTER RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271835",
            "telephone_number": "716-662-7229",
            "fax_number": "716-662-7263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6435 WEBSTER RD",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141271835",
            "telephone_number": "716-662-7229",
            "fax_number": "716-662-7263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURACINA",
        "first_name": "JENNIFER",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-04",
        "last_updated": "2008-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "044646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.