Active NPI
Kurtis Glen Lightheart, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- El Paso, TX
National Provider Identifier
1235242801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 26356
- Practice address
- 5005 N. Piedras St.
Dentac
El Paso, TX 79920-5001 - Phone
- (915) 742-5935
- Fax
- (915) 742-5174
- NPI assigned
- Aug 16, 2006
- Last updated
- Sep 16, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 8396 | KY | |
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 26356 | TX | Primary |
Addresses
Primary practice location
5005 N. Piedras St.
Dentac
El Paso, TX 79920-5001
Mailing address
12704 Tierra Lily CT
El Paso, TX 79938-5372
Phone (580) 458-1217
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
| License | State | Type | Specialty |
|---|---|---|---|
| 8396 | KY | MD | Dentist |
| 26356 | TX | MD | Orthodontics and Dentofacial Orthopedic Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316131200000",
"number": "1235242801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12704 TIERRA LILY CT",
"city": "EL PASO",
"state": "TX",
"postal_code": "799385372",
"telephone_number": "580-458-1217"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 N. PIEDRAS ST.",
"address_2": "DENTAC",
"city": "EL PASO",
"state": "TX",
"postal_code": "799205001",
"telephone_number": "915-742-5935",
"fax_number": "915-742-5174"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGHTHEART",
"first_name": "KURTIS",
"middle_name": "GLEN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2011-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "KY",
"license": "8396",
"primary": false
},
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "TX",
"license": "26356",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
- Life Care Chiropractic & Rehabilitation Centers
- Life Journey Counseling LLC
- Lifeworks Services, LLC
- Evan Andrew Liggett, MD
- Catherine Lightbourn, PT
- Laura Graciela Lightner, NURSE PRACTITIONER
- Lilac Hospice of El Paso
- Lilia B Alvarez O.D., P.C.
- Lilia Fabila, PLLC
- Liliana Sifuentes D.C., P.a. (Balance for Life Chiropractic)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.