Individual provider Active NPI

Adam Kutzner, D.D.S.

  • Dental Anesthesiology
  • Huntington Beach, CA
National Provider Identifier
1891265807
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental AnesthesiologyTaxonomy code 1223D0004X
License
DE60912789 Issued in WA
Practice address
7891 Talbert Ave. Ste 103
Huntington Beach, CA 92648
Phone
(714) 841-4990
NPI assigned
Dec 3, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DE60912789 WA
Dental Anesthesiology 1223D0004X DE60912789 WA Primary

Addresses

Primary practice location

7891 Talbert Ave. Ste 103
Huntington Beach, CA 92648

Mailing address

7891 Talbert Ave. Ste 103
Huntington Beach, CA 92648

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
DE60912789WAMDDentist Anesthesiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Ahdut Bean PLLC Past Accepting new patients
Russell Seheult, D.D.S., a Professional Corporation PastSince May 1, 2023 Accepting new patients
Richard P. Mungo D.D.S., M.S.D., M.Ed. PastSince Jun 1, 2024 Accepting new patients

Organizations & group practices 3

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": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1891265807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE. STE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7891 TALBERT AVE. STE 103",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92648",
            "telephone_number": "714-841-4990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUTZNER",
        "first_name": "ADAM",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-03",
        "last_updated": "2024-08-22",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60912789",
            "primary": false
        },
        {
            "code": "1223D0004X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Anesthesiology",
            "state": "WA",
            "license": "DE60912789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.