Andrew Kurtz, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

104346 Issued in CA

Practice address

1313 Gilman St # a
Berkeley, CA 94706-2431

Phone

(510) 526-7546

NPI assigned

Sep 15, 2019

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

Practice roles

Locations

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.

• Marjan Rusta DDS Inc

  • General Practice Dentistry
  • Berkeley, CA
  • NPI 1164246864
  NPD

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568505600000",
    "number": "1053961797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 GILMAN ST # A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062431",
            "telephone_number": "510-526-7546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 GILMAN ST # A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062431",
            "telephone_number": "510-526-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "ANDREW",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-09-15",
        "last_updated": "2019-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "104346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Elan Kuluva, M.D.
• Saumya Kumar
• Hannah Kuper
• Cassandra Kurmis
• Alyssa Kurth, LCSW
• Seymour L Kurtz, D.M.D.
• Vinod Kurupath, M.D.
• Nataliya M. Kushnir, M.D.
• Elizabeth Kusin
• Rosario Kusnir, MFT

• General Practice Dentistry in Berkeley, CA
• Providers in Berkeley, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2019; 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.