Individual provider Active NPI

Seymour L Kurtz, D.M.D.

  • General Practice Dentistry
  • Berkeley, CA
National Provider Identifier
1154549772
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
28592 Issued in CA
Practice address
1313 Gilman St
Suite a
Berkeley, CA 94706-2431
Phone
(510) 526-7548
Fax
(510) 526-1027
NPI assigned
Apr 20, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28592 CA Primary

Addresses

Primary practice location

1313 Gilman St
Suite a
Berkeley, CA 94706-2431

Mailing address

1313 Gilman St
Suite a
Berkeley, CA 94706-2431
Phone (510) 526-7548

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
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 2, 2016 through Mar 2, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28592CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Marjan Rusta DDS Inc General Practice PastSince Nov 17, 2024 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154549772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 GILMAN ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062431",
            "telephone_number": "510-526-7548",
            "fax_number": "510-526-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1313 GILMAN ST",
            "address_2": "SUITE A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947062431",
            "telephone_number": "510-526-7548",
            "fax_number": "510-526-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "SEYMOUR",
        "middle_name": "L",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.