Grauer-Kuchta Dental As

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

GRAUER-KUCHTA DENTAL AS

Doing business as

Complete Health Dentistry of Park Ridge

Practice address

101 S Washington Ave
Suite 135
Park Ridge, IL 60068-4200

Phone

(847) 696-3240

NPI assigned

May 23, 2007

Last updated

Aug 4, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Steven Kuchta, DDSNPI 1285691584

Title

President

Phone

(847) 696-3240

Specialties & licenses 2

Addresses

Other names 1

• Complete Health Dentistry of Park Ridge Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark Steven Kuchta, D.D.S.

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1285691584
  NPD Authorized official
• David E. Grauer, D.D.S.

  • General Practice Dentistry
  • Park Ridge, IL
  • NPI 1255398970
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691107200000",
    "number": "1932319423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON ST",
            "address_2": "SUITE 135",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684200",
            "telephone_number": "847-696-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S WASHINGTON AVE",
            "address_2": "SUITE 135",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600684200",
            "telephone_number": "847-696-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAUER-KUCHTA DENTAL AS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A",
        "authorized_official_last_name": "KUCHTA",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-696-3240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Complete Health Dentistry of Park Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jennifer Marie Graham, OTR/L
• Rachel Mara Graham, M.S., CAGS
• Riane Tara Graham
• Danielle Gratza, MD
• Margaret Ann Grau, LCSW
• David E. Grauer, D.D.S.
• Judith Ann Gravdal, M.D.
• Shelby Noel Graves, LPC, ATR
• Allison Gray, M.A. CCC-SLP/L
• Erin Caveney Green, CCC-SLP

• Dentist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.