Active NPI
David Kutner a Dental Corp
- Dentist
- San Bernardino, CA
National Provider Identifier
1992950281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 27016
- Legal business name
- DAVID KUTNER A DENTAL CORP
- Practice address
- 695 W Highland Ave
San Bernardino, CA 92405-3812 - Phone
- (909) 881-2545
- NPI assigned
- Dec 1, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. David Kutner, DMD
- Title
- President
- Phone
- (626) 442-4582
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 27016 | CA | Primary |
Addresses
Primary practice location
695 W Highland Ave
San Bernardino, CA 92405-3812
Mailing address
695 W Highland Ave
San Bernardino, CA 92405-3812
Phone (909) 881-2545
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174714547 | Medicaid | CA |
Other names 1
- american family dental
National Provider Directory
National Provider Directory- Tax ID family
- American Family Dental
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dentist
- Baldwin Park, CA
- NPI 1023263407
-
- Dentist
- El Monte, CA
- NPI 1184879470
-
- Dentist
- Baldwin Park, CA
- NPI 1174714547
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228089600000",
"number": "1992950281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "695 W HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053812",
"telephone_number": "909-881-2545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 W HIGHLAND AVE",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924053812",
"telephone_number": "909-881-2545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAVID KUTNER A DENTAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-01",
"last_updated": "2008-12-01",
"status": "A",
"authorized_official_last_name": "KUTNER",
"authorized_official_first_name": "DAVID",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "626-442-4582",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DMD"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist",
"state": "CA",
"license": "27016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1174714547",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "american family dental",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.