Individual provider Active NPI

Richard Kucera

  • Funeral Director
  • Connellsville, PA
National Provider Identifier
1699572529
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Funeral DirectorTaxonomy code 176P00000X
License
010843-L Issued in PA
Practice address
127 E Fairview Ave
Connellsville, PA 15425-3614
Phone
(724) 628-7250
Fax
(724) 628-7250
NPI assigned
Feb 27, 2025
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Funeral Director 176P00000X 010843-L PA Primary

Addresses

Primary practice location

127 E Fairview Ave
Connellsville, PA 15425-3614

Mailing address

127 E Fairview Ave
Connellsville, PA 15425-3614
Phone (724) 628-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
010843-LPAMDFuneral Director

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1699572529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 E FAIRVIEW AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253614",
            "telephone_number": "724-628-7250",
            "fax_number": "724-628-7250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 E FAIRVIEW AVE",
            "city": "CONNELLSVILLE",
            "state": "PA",
            "postal_code": "154253614",
            "telephone_number": "724-628-7250",
            "fax_number": "724-628-7250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "RICHARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176P00000X",
            "taxonomy_group": "",
            "desc": "Funeral Director",
            "state": "PA",
            "license": "010843-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Connellsville, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.