Individual provider Active NPI

Alexander S. Kutuza, DMD

  • Endodontics
  • Hickory, NC
National Provider Identifier
1861690034
Registry record updated Nov 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
9945 Issued in NC
Practice address
1320 4TH Street Dr NW
Hickory, NC 28601-2524
Phone
(828) 322-8710
NPI assigned
Jul 10, 2007
Last updated
Nov 3, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X DS036580 PA
Endodontics 1223E0200X 9945 NC Primary

Addresses

Primary practice location

1320 4TH Street Dr NW
Hickory, NC 28601-2524

Mailing address

1320 4TH Street Dr NW
Hickory, NC 28601-2524
Phone (828) 322-8710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DS036580PAMDEndodontist
9945NCMDMedical license number

Practice roles

OrganizationSpecialtyStatusNew patients
Alexander Kutuza D.M.D PLLC Endodontics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762128000000",
    "number": "1861690034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1320 4TH STREET DR NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012524",
            "telephone_number": "828-322-8710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1320 4TH STREET DR NW",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286012524",
            "telephone_number": "828-322-8710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTUZA",
        "first_name": "ALEXANDER",
        "middle_name": "S.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-10",
        "last_updated": "2025-11-03",
        "certification_date": "2025-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS036580",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NC",
            "license": "9945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2025; 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.