Katherine Anne Kucera, DDS
Dentist in Ceres, CA. Individual provider (NPI-1).
NPI number1104994656
StatusActive
Last updated in NPPESSep 8, 2014
Details
- NPI
- 1104994656
- Entity type
- Individual (NPI-1)
- Name
- Ms. Katherine Anne Kucera
- Credential
- DDS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 1, 2006
- Last updated
- Sep 8, 2014
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 31816 | CA | Yes |
Practice location
3507 Morgan RdCeres, CA 95307
Phone 209-537-4673
Mailing address
3507 Morgan RdCeres, CA 95307
Phone 209-537-4673
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 10 Dentist providers in Ceres · All 760 providers in Ceres
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