Organization Active NPI

Karen Kucharski DMD a Professional Corporation

  • General Practice Dentistry
  • Kings Beach, CA
National Provider Identifier
1780768366
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
46087 Issued in CA
Legal business name
KAREN KUCHARSKI DMD A PROFESSIONAL CORPORATION
Practice address
8079 North Lake Blvd
#202
Kings Beach, CA 96143
Phone
(530) 546-5678
Fax
(530) 546-0467
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Karen Lynn Kucharski, DMDNPI 1649670837
Title
Dentist
Phone
(530) 546-5678

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 46087 CA Primary

Addresses

Primary practice location

8079 North Lake Blvd
#202
Kings Beach, CA 96143

Mailing address

PO Box 1947
8079 N Lake Blvd #202
Kings Beach, CA 96143
Phone (530) 546-5678

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1780768366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1947",
            "address_2": "8079 N LAKE BLVD #202",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "96143",
            "telephone_number": "530-546-5678",
            "fax_number": "530-546-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8079 NORTH LAKE BLVD",
            "address_2": "#202",
            "city": "KINGS BEACH",
            "state": "CA",
            "postal_code": "96143",
            "telephone_number": "530-546-5678",
            "fax_number": "530-546-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN KUCHARSKI DMD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "KUCHARSKI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "530-546-5678",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "46087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.