DR. REBECCA JOHNSON KUCERA


Address: 1489 N Jefferson St, Lewisburg, WV 24901-1187
Phone: 3046450251

DR. REBECCA JOHNSON KUCERA (NPI# 1922208867) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1922208867
Entity Type Individual
Full Name DR. REBECCA JOHNSON KUCERA
Credential DDS
Practice Address 1489 N Jefferson St
Lewisburg
WV 24901-1187
Practice Telephone 3046450251
Practice Fax Number 3046450252
Mailing Telephone 3046450251
Mailing Fax Number 3046450252
Enumeration Date 2007-07-19
Last Update Date 2011-09-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223P0221X Dentist
Specialization: Pediatric Dentistry
3783 WV Dental Providers

Other Provider Identifier

State Issuer Identifier Type Code
WV 3810006780 05
WV STATE OF WV DENTAL LICENS 3783 01
TAX ID 800340665 01

Other Providers REBECCA KUCERA

NPI Name Taxonomy Address Enumeration
1619176435 Rebecca M Kucera Dentist 9075 Town Centre Dr Ste 130, Broadview Heights, OH 44147-4045 2007-07-12

Office Location

Street Address 1489 N JEFFERSON ST
City LEWISBURG
State WV
Zip Code 24901-1187

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861093940 Amy Lu Moss Technician 254 Moss D Lane, Fairlea, WV 24901 2020-11-04
1083212377 Miranda Shope Technician 814 Maple Ave., Lewisburg, WV 24901 2020-10-09
1184235830 Carol E Beasley Technician 147 Windy Hill Road, Lewisburg, WV 24901 2020-08-14
1790317782 Preston Dyer Modlin Psychologist 635 Church Street, Lewisburg, WV 24901 2020-02-07
1437780269 Healthcare 360 Pllc Family Medicine 208 Dawkins Drive, Lewisburg, WV 24901 2020-01-30
1821655390 Janet Lee Kowalsky Student in an Organized Health Care Education/Training Program 1464 N Jefferson St., Lewisburg, WV 24901 2019-05-21
1598321192 Ali Yousaf Student in an Organized Health Care Education/Training Program 400 North Jefferson, Lewisburg, WV 24901 2019-05-20
1770053308 Micheala Renae Taylor Student in an Organized Health Care Education/Training Program 1464 North Jefferson Street, Lewisburg, WV 24901 2018-11-27
1659840486 Maggie King Clendenen Nurse Practitioner 454 Bell Drive, Lewisburg, WV 24901 2018-11-22
1861979312 Vincent Morra Student in an Organized Health Care Education/Training Program 1464 N Jefferson St, Lewisburg, WV 24901 2018-07-26
Find all providers in zip 24901

Taxonomy Information

Taxonomy Code 1223P0221X
Grouping Dental Providers
Classification Dentist
Specialization Pediatric Dentistry

Taxonomy Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1275587289 Michelle Ann Yearick Dentist 217 Farley Cir, Lewisburg, PA 17837-9251 2006-05-22
1063817153 Michelle A. Yearick, D.d.s., P.C. Dentist 217 Farley Cir, Lewisburg, PA 17837-9251 2014-10-31
1346277985 Jay A Holthus Dentist 210 Jpm Rd, Suite 302, Lewisburg, PA 17837-9367 2006-06-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1861022733 Erin H Branham Dds Pllc Dentist 225 College Pkwy Ste 201, Parkersburg, WV 26104-7655 2020-01-20
1154713246 Dr. Cynthia D. Parks Dds, Pllc Dentist 601 Venture Dr, Suite 200, Morgantown, WV 26508-7310 2015-02-26
1124452644 Katie Steele Dds Pllc, Steele Pediatric Dentistry Dentist 204 Kruger St Ste 1, Wheeling, WV 26003-5165 2013-09-03
1487948741 Eric J Bailey Dentist 3659 Teays Valley Rd, Suite 100, Hurricane, WV 25526-9701 2011-06-04
1215127881 Erin Hudgins Branham Dentist 414 Alpine St, Mineral Wells, WV 26150-3015 2007-07-30
1760501001 Tracy L. Wilkerson, Dds, Pllc Dentist 1400 Kanawha Blvd E, Charleston, WV 25301-3002 2007-03-28
1639215684 John Patrick Martin Dentist 3659 Teays Valley Road, Suite 100, Hurricane, WV 25526-9701 2007-01-29
1306912258 Seyed Moe Momen Dentist 9 Chenoweth Drive, Bridgeport, WV 26330 2006-11-24
1386756054 Cynthia Denise Parks Dentist 7000 Coomb's Farm Drive, Suite 102, Morgantown, WV 26508 2006-08-31
1053353334 Paul Todd Rose Dentist 220 Ragland Rd, Beckley, WV 25801-9721 2006-06-12
Find all providers with the same taxonomy

Competitor

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City LEWISBURG
Zip Code 24901

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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