Active NPI
Kurt Charles Jones
- Oral and Maxillofacial Surgery (Dentist)
- Annapolis, MD
National Provider Identifier
1013172386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 14064
- Practice address
- 275 West St
Suite100
Annapolis, MD 21401-3400 - Phone
- (410) 268-7790
- Fax
- (410) 268-7874
- NPI assigned
- Jul 25, 2008
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Annapolis, MD
- NPI 1154526648
Oral and Maxillofacial Surgery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Aug 1, 2013 through Aug 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DRS Walzer Sullivan & Hlousek PA | Oral and Maxillofacial Surgery | Past | Accepting new patients |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 14064 | MD | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
275 West St
Suite100
Annapolis, MD 21401-3400
Mailing address
275 West St
Suite100
Annapolis, MD 21401-3400
Phone (410) 268-7790
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 25, 2008.
{
"created_epoch": "1216944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216944000000",
"number": "1013172386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 WEST ST",
"address_2": "SUITE100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013400",
"telephone_number": "410-268-7790",
"fax_number": "410-268-7874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 WEST ST",
"address_2": "SUITE100",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214013400",
"telephone_number": "410-268-7790",
"fax_number": "410-268-7874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KURT",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-07-25",
"last_updated": "2008-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MD",
"license": "14064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.