Craig Hurtt, D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

DS-02590-L Issued in PA

Practice address

1 Aldwyn LN
Villanova, PA 19085-1400

Phone

(610) 525-9845

Fax

(610) 525-9760

NPI assigned

Sep 24, 2010

Sex

Male

Sole proprietor

No

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

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Main Line Endodontic Associates, P.C.

  • Endodontics
  • Villanova, PA
  • NPI 1467583070
  NPD (past)

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

{
    "created_epoch": "1285286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285286400000",
    "number": "1114236197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ALDWYN LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851400",
            "telephone_number": "610-525-9845",
            "fax_number": "610-525-9760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ALDWYN LN",
            "city": "VILLANOVA",
            "state": "PA",
            "postal_code": "190851400",
            "telephone_number": "610-525-9845",
            "fax_number": "610-525-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HURTT",
        "first_name": "CRAIG",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-24",
        "last_updated": "2010-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "PA",
            "license": "DS-02590-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan Samuel Hoffman, M.D.
• Holistic Family Medicine PC
• Lisa Holtz
• Erica Nicole Houseknecht
• Shirley Hui, DMD
• Lina Husienzad, M.D.
• Leonard Steven Jacob, M.D.
• Joel Klein, D.C.
• Kaitlin M Joyce, LCSW
• Kaitlin Joyce Therapy & Consulting, LLC

• Endodontics in Villanova, PA
• Providers in Villanova, PA by specialty
• Endodontics in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.