Diana Kukleris, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

27602 Issued in TX

Practice address

1248 FM 78
Suite 105
Schertz, TX 78154-2465

Phone

(210) 375-5256

NPI assigned

May 24, 2012

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

Other names 1

• Diana Kukleriene Former name

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 and National Provider Directory roles.

• Double Arc Dental

  • Dental Clinic/Center
  • Schertz, TX
  • NPI 1235481870
  NPD (past) Authorized official
• Vsa Dental PLLC

  • General Practice Dentistry
  • Schertz, TX
  • NPI 1558169078
  NPD (past)

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391385600000",
    "number": "1780944660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1248 FM 78",
            "address_2": "SUITE 105",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542465",
            "telephone_number": "210-375-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1248 FM 78",
            "address_2": "SUITE 105",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781542465",
            "telephone_number": "210-375-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUKLERIS",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-24",
        "last_updated": "2014-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "27602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANA",
            "last_name": "KUKLERIENE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kristen Koroscil, PT, DPT
• Alena Krawczynski, LPC
• Jonathan Krell, RN
• Samantha Kucher
• Alvydas Kukleris, DDS
• Ashley Kusmierz
• Rebecca Ann Kutscher
• Shana Marie Laffoon
• Andrew Lai, PHARM.D
• Ezzat Ayad Lamaie, CNIM

• General Practice Dentistry in Schertz, TX
• Providers in Schertz, 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 Feb 3, 2014; 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.