Active NPI
Inna Kurtich, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1952590143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 48304
- Practice address
- 824 S Alvarado St
Los Angeles, CA 90057-4010 - Phone
- (323) 240-4960
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 48304 | CA | Primary |
Addresses
Primary practice location
824 S Alvarado St
Los Angeles, CA 90057-4010
Mailing address
7660 Beverly Blvd Apt 348
Los Angeles, CA 90036-2748
Phone (323) 240-4960
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160411002113 | CA | Order and Referring Only - Dentist | 7214235084 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48304 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1952590143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7660 BEVERLY BLVD APT 348",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900362748",
"telephone_number": "323-240-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 S ALVARADO ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574010",
"telephone_number": "323-240-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KURTICH",
"first_name": "INNA",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-10-24",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "48304",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.