Preetha Acha Kuruvilla, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0489221 Issued in NY

Practice address

1764 Gerald Ave
East Meadow, NY 11554-1003

Phone

(516) 205-4181

NPI assigned

Sep 9, 2007

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189296000000",
    "number": "1760677165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1764 GERALD AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541003",
            "telephone_number": "516-205-4181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1764 GERALD AVE",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541003",
            "telephone_number": "516-205-4181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURUVILLA",
        "first_name": "PREETHA",
        "middle_name": "ACHA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0489221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vithura Kunarathnam, MD
• Lina Kung, CRNA
• Joseph L Kuppelmeyer, L.AC
• Jennifer Elizabeth Kurian, PHARMD
• Mathews Kurien
• Kelly Madeline Kurz
• Aashika Rajnikant Kushwaha, MD
• Lauren Kustek, LMSW
• Dina Kutcher, RPA-C
• Anju Kuttikottayil Babu

• General Practice Dentistry in East Meadow, NY
• Providers in East Meadow, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; 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.