Jacklyn Kurth Orthodontics Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

48937 Issued in CA

Legal business name

JACKLYN KURTH ORTHODONTICS INC

Practice address

1291 E Hillsdale Blvd Ste 200
Foster City, CA 94404-1233

Phone

(650) 525-9440

Fax

(650) 525-9490

NPI assigned

May 31, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Jacklyn Kurth, DDS

Title

Owner

Phone

(650) 525-9440

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1496188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496188800000",
    "number": "1235667403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD STE 200",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041233",
            "telephone_number": "650-525-9440",
            "fax_number": "650-525-9490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 E HILLSDALE BLVD STE 200",
            "city": "FOSTER CITY",
            "state": "CA",
            "postal_code": "944041233",
            "telephone_number": "650-525-9440",
            "fax_number": "650-525-9490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKLYN KURTH ORTHODONTICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A",
        "authorized_official_last_name": "KURTH",
        "authorized_official_first_name": "JACKLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-525-9440",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "48937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Foster City, CA
• Providers in Foster City, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2017; 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.