DR. CHRIS DAVID KUTANOVSKI (NPI# 1134489198) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134489198 |
Entity Type | Individual |
Full Name | DR. CHRIS DAVID KUTANOVSKI |
Credential | D.D.S |
Practice Address |
9205 Broadway Ste A Merrillville IN 46410-7061 |
Mailing Address |
8782 Madison Ave Indianapolis IN 46227-7202 |
Practice Telephone | 3197550123 |
Mailing Telephone | 2196133846 |
Enumeration Date | 2012-05-24 |
Last Update Date | 2016-09-08 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223G0001X |
Dentist Specialization: General Practice |
12011791A | IN | Dental Providers |
Street Address |
9205 BROADWAY STE A |
City | MERRILLVILLE |
State | IN |
Zip Code | 46410-7061 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023636867 | Lena Danielle Clouse | Pharmacist | Genoa Healthcare LLC, 8555 Taft Street, Merrillville, IN 46410 | 2020-07-08 |
1134752728 | All In One Therapy, LLC | Speech-Language Pathologist | 1800 W 84th Drive, Merrillville, IN 46410 | 2020-02-21 |
1134759335 | David John Kujawa | Social Worker | 8398 Mississippi St., Merrillville, IN 46410 | 2020-01-16 |
1619513603 | Activate Healthcare - Plumbers Local 210 Clinic | Clinic/Center | 2905 E 83rd Place, Merrillville, IN 46410 | 2019-11-25 |
1568946994 | Larry Smith | Case Manager/Care Coordinator | 233 E 83, Merrillville, IN 46410 | 2018-09-21 |
1114401536 | The Sheet People | Durable Medical Equipment & Medical Supplies | 8874 Louisiana Street, Merrillville, IN 46410 | 2018-09-21 |
1659858439 | Heather Grinder | Hearing Instrument Specialist | 9120 Connecticut Dr., Suite C, Merrillville, IN 46410 | 2018-07-24 |
1710463872 | Mitchell G Smith | Optometrist | 1601 E 81st Ave, Merrillville, IN 46410 | 2018-07-12 |
1336631753 | Nwi Mobility, Inc. | Durable Medical Equipment & Medical Supplies | 1454 E. 86th Place, Merrillville, IN 46410 | 2018-06-01 |
1659860427 | Wendell B Fleming | Counselor | 230 West 175th Place, Apartment I, Merrillville, IN 46410 | 2018-05-07 |
Find all providers in zip 46410 |
Taxonomy Code | 1223G0001X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | General Practice |
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
Notes: Source: Academy of General Dentistry |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932672052 | Secure Dental Ix LLC | Dentist | 2381 E 80th Ave, Merrillville, IN 46410-5722 | 2019-01-11 |
1245725340 | Christopher Lukasik | Dentist | 55 E 86th Ave Ste C, Merrillville, IN 46410-6265 | 2018-06-30 |
1396267357 | Trent Allan Jones | Dentist | 6 W Lincoln Hwy, Merrillville, IN 46410 | 2017-07-12 |
1861921454 | Ramez Magdy Saweres | Dentist | 532 E 81st Ave, Merrillville, IN 46410-5599 | 2017-06-07 |
1669825832 | Timothy John Kamp | Dentist | 303 W 89th Ave Ste E2, Merrillville, IN 46410-6295 | 2016-07-22 |
1548549439 | Igor Ristevski | Dentist | 233 E. 84th Drive, Suite 106, Merrillville, IN 46410-6465 | 2011-08-09 |
1154543635 | Dental Professionals of Indiana, P.C. | Dentist | 8079 Madison St, Merrillville, IN 46410-5465 | 2007-05-03 |
1619191657 | Jill Halcarz | Dentist | 1000 E 80th Pl Ste 523, Merrillville, IN 46410-5608 | 2007-04-12 |
1407079320 | Hugh P Seller | Dentist | 105 W 78th Pl, Merrillville, IN 46410-5468 | 2007-04-10 |
1437287729 | Michael Hyukki Min | Dentist | 1410 E 85th Ave, Merrillville, IN 46410-8905 | 2007-03-01 |
Find all providers in MERRILLVILLE |
City | MERRILLVILLE |
Zip Code | 46410 |
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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.