Individual provider Active NPI

Kurt Gabriel Hausy, DMD

  • Dentist
  • Clewiston, FL
National Provider Identifier
1225229909
Registry record updated Aug 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN16742 Issued in FL
Practice address
316 E. Trinidad Ave.
Clewiston, FL 33440
Phone
(863) 983-6347
Fax
(863) 983-6347
NPI assigned
Aug 7, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN16742 FL Primary

Addresses

Primary practice location

316 E. Trinidad Ave.
Clewiston, FL 33440

Mailing address

316 E. Trinidad Ave.
Clewiston, FL 33440
Phone (863) 983-6347

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN16742FLMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282262400000",
    "number": "1225229909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 E. TRINIDAD AVE.",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "863-983-6347",
            "fax_number": "863-983-7468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 E. TRINIDAD AVE.",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "33440",
            "telephone_number": "863-983-6347",
            "fax_number": "863-983-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSY",
        "first_name": "KURT",
        "middle_name": "GABRIEL",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-07",
        "last_updated": "2010-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN16742",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2010; 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.