Courtney Kast, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

30.025042 Issued in OH

Practice address

131 E 2ND St
Port Clinton, OH 43452-1114

Phone

(419) 732-3584

Fax

(419) 732-3584

NPI assigned

May 11, 2017

Sex

Female

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 OH

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

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748995200000",
    "number": "1154857035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 E 2ND ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521114",
            "telephone_number": "419-732-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 E 2ND ST",
            "city": "PORT CLINTON",
            "state": "OH",
            "postal_code": "434521114",
            "telephone_number": "419-732-3584",
            "fax_number": "419-732-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAST",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2025-06-04",
        "certification_date": "2025-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30.025042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Jaskulski, LMT
• Danielle Nicole Jones, CDCA
• Laura Jordan, DO
• Molly S Judge, DPM
• Stacey Karshuk
• Kevin R Kast, DDS
• Kay Care LLC
• Richard L Kendall, MD
• Jaclyn Marie Kessler
• Angalina Kidwell

• General Practice Dentistry in Port Clinton, OH
• Providers in Port Clinton, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2025; 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.