Individual provider Active NPI

Kurt E Schabes, DDS

  • General Practice Dentistry
  • Ada, MI
National Provider Identifier
1174548606
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
14033 Issued in MI
Practice address
7210 Headley SE
Ada, MI 49301
Phone
(616) 676-2223
Fax
(616) 676-2887
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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 14033 MI Primary

Addresses

Primary practice location

7210 Headley SE
Ada, MI 49301

Mailing address

9521 Conservation St NE
Ada, MI 49301-9752
Phone (616) 676-3291

Other identifiers 2

IdentifierTypeStateIssuer
626486OtherMIPROVIDER ID
122911782MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14033MIMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Samy Salhadar DDS PLLC General Practice PastSince Jun 12, 2022 Accepting new patients
Kurt E Schabes, DDS, PLC Past Accepting new patients

Organizations & group practices 2

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413936000000",
    "number": "1174548606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9521 CONSERVATION ST NE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493019752",
            "telephone_number": "616-676-3291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 HEADLEY SE",
            "city": "ADA",
            "state": "MI",
            "postal_code": "49301",
            "telephone_number": "616-676-2223",
            "fax_number": "616-676-2887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHABES",
        "first_name": "KURT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2014-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID",
            "identifier": "626486",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122911782",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.