Organization Active NPI

Kurt M. Halum, DMD, PC

  • Pediatric Dentistry
  • Highland, IN
National Provider Identifier
1205024965
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
12009620 Issued in IN
Legal business name
KURT M. HALUM, DMD, PC
Practice address
2303 45TH St
Highland, IN 46322-2602
Phone
(219) 924-5437
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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

Authorized official

Name
Dr. Kurt M. Halum, DMDNPI 1144364167
Title
Dentist
Phone
(219) 924-5437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 12009620 IN Primary

Addresses

Primary practice location

2303 45TH St
Highland, IN 46322-2602

Mailing address

2303 45TH St
Highland, IN 46322-2602
Phone (219) 924-5437

Other identifiers 1

IdentifierTypeStateIssuer
12009620OtherININDIANA LICENSE

National Provider Directory

National Provider Directory

Locations

2303 45th St
Highland, IN 46322
Phone (219) 924-5437

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1205024965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222602",
            "telephone_number": "219-924-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 45TH ST",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463222602",
            "telephone_number": "219-924-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT M. HALUM, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "status": "A",
        "authorized_official_last_name": "HALUM",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "219-924-5437",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IN",
            "license": "12009620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "12009620",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.