Kurt Philip Macek, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9859 Issued in CO

Practice address

8031 Campus Delivery
Colorado State University
Fort Collins, CO 80523-8031

Phone

(970) 491-1710

NPI assigned

Oct 1, 2009

Last updated

Oct 1, 2009By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1254355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254355200000",
    "number": "1033443486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1080 SHADOW RIDGE RD",
            "city": "LAPORTE",
            "state": "CO",
            "postal_code": "805359724",
            "telephone_number": "970-416-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8031 CAMPUS DELIVERY",
            "address_2": "COLORADO STATE UNIVERSITY",
            "city": "FORT COLLINS",
            "state": "CO",
            "postal_code": "805238031",
            "telephone_number": "970-491-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEK",
        "first_name": "KURT",
        "middle_name": "PHILIP",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-01",
        "last_updated": "2009-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "9859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chandra Maas, AUD
• Erik Daniel Maas, PA-C
• Nola Anne Macdonald, D.O.
• Katie E Macdonell, LCSW
• Katherine Macdougall, MSW
• Meily Machado, DPM
• Karen C Macintosh, APN, FNP
• Marilyn Catherine Macintyre, LMFT
• Adam George Mack, MD
• David Wentworth Mack, MD

• General Practice Dentistry in Fort Collins, CO
• Providers in Fort Collins, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.