Active NPI
Adam Kutzner, D.D.S.
- Dental Anesthesiology
- Huntington Beach, CA
National Provider Identifier
1891265807
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Anesthesiology
- License
- DE60912789
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DE60912789 | WA | MD | Dentist Anesthesiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahdut Bean PLLC | Past | Accepting new patients | |
| Russell Seheult, D.D.S., a Professional Corporation | Past | Accepting new patients | |
| Richard P. Mungo D.D.S., M.S.D., M.Ed. | Past | 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.
-
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- Huntington Beach, CA
- NPI 1902145246
-
dba Redlands Dental Surgery Center
- Ambulatory Surgical Clinic/Center
- Redlands, CA
- NPI 1730233768
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.