Individual provider Active NPI

Abbe Hope Kellner-Kutno, DDS

  • General Practice Dentistry
  • Elmsford, NY
National Provider Identifier
1760543029
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
045870-1 Issued in NY
Practice address
92 E Main St
Elmsford, NY 10523-3200
Phone
(914) 592-7483
Fax
(914) 592-7686
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 045870-1 NY Primary

Addresses

Primary practice location

92 E Main St
Elmsford, NY 10523-3200

Mailing address

92 E Main St
Elmsford, NY 10523-3200
Phone (914) 592-7483

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
I20150708001166 NY Order and Referring Only - DentistPractitioner - Dentist 6305158106

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
045870-1NYMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760543029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233200",
            "telephone_number": "914-592-7483",
            "fax_number": "914-592-7686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 E MAIN ST",
            "city": "ELMSFORD",
            "state": "NY",
            "postal_code": "105233200",
            "telephone_number": "914-592-7483",
            "fax_number": "914-592-7686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLNER-KUTNO",
        "first_name": "ABBE",
        "middle_name": "HOPE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045870-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmsford, NY

Sources for this page

Verify at the official NPI Registry.