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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
3783 | WV | Dental Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WV | 3810006780 | 05 | |
WV | STATE OF WV DENTAL LICENS | 3783 | 01 |
TAX ID | 800340665 | 01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619176435 | Rebecca M Kucera | Dentist | 9075 Town Centre Dr Ste 130, Broadview Heights, OH 44147-4045 | 2007-07-12 |
Street Address |
1489 N JEFFERSON ST |
City | LEWISBURG |
State | WV |
Zip Code | 24901-1187 |
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 Code | 1223P0221X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Pediatric Dentistry |
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 |
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 |
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 |
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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.