Deeann Kucera, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15576 Issued in TX

Practice address

331 W State Highway 6 Ste D
Waco, TX 76710-5584

Phone

(254) 772-0373

Fax

(254) 772-4850

NPI assigned

Jan 29, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas Grass DMD PLLC

  • Dental Clinic/Center
  • Waco, TX
  • NPI 1770284705
  NPD (past)

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700922812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 W STATE HIGHWAY 6 STE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105584",
            "telephone_number": "254-772-0373",
            "fax_number": "254-772-4850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 W STATE HIGHWAY 6 STE D",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767105584",
            "telephone_number": "254-772-0373",
            "fax_number": "254-772-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCERA",
        "first_name": "DEEANN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "15576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kezra Kroeger
• Kevin Krogstad
• Michael Kroll, PTA
• Kspa Massage & Company, LLC.
• Kspa Wellness Group, Inc
• Connie Kuei
• Pascal Kukiattikoon
• Biresh Kumar, MD
• Weldon Louis Kunkel, MD
• Ann Kristine Kurpess, CTRS

• General Practice Dentistry in Waco, TX
• Providers in Waco, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.