Individual provider Active NPI

Hailey Loren Kuzma, DMD

  • General Practice Dentistry
  • Wilmington, NC
National Provider Identifier
1235828492
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13718 Issued in NC
Practice address
3505 Converse Rd Ste 100
Wilmington, NC 28403-6129
Phone
(910) 765-8981
NPI assigned
May 3, 2023
Last updated
Jun 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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 13718 NC Primary

Addresses

Primary practice location

3505 Converse Rd Ste 100
Wilmington, NC 28403-6129

Mailing address

3505 Converse Rd Ste 100
Wilmington, NC 28403-6129
Phone (910) 765-8981

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
13718NCMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1235828492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036129",
            "telephone_number": "910-765-8981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3505 CONVERSE RD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284036129",
            "telephone_number": "910-765-8981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMA",
        "first_name": "HAILEY",
        "middle_name": "LOREN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-03",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "13718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; 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.