Active NPI
Larry G Kutina, DDS
- Dentist
- Great Bend, KS
National Provider Identifier
1912060435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- KS6481
- Practice address
- 3820 6TH Street
Great Bend, KS 67530 - Phone
- (620) 792-2114
- Fax
- (620) 792-3029
- NPI assigned
- Dec 18, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | KS6481 | KS | Primary |
Addresses
Primary practice location
3820 6TH Street
Great Bend, KS 67530
Mailing address
3820 6TH Street
Great Bend, KS 67530
Phone (620) 792-2114
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 |
|---|---|---|---|
| KS6481 | KS | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912060435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3820 6TH STREET",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "67530",
"telephone_number": "620-792-2114",
"fax_number": "620-792-3029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3820 6TH STREET",
"city": "GREAT BEND",
"state": "KS",
"postal_code": "67530",
"telephone_number": "620-792-2114",
"fax_number": "620-792-3029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUTINA",
"first_name": "LARRY",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-18",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KS",
"license": "KS6481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Great Bend, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.