Kurt Geisel DDS PC

Primary specialty

DentistTaxonomy code 122300000X

License

5669 Issued in AZ

Legal business name

KURT GEISEL DDS PC

Doing business as

HIgh Country Family Dentistry

Practice address

504 N Humphreys St
Flagstaff, AZ 86001-3056

Phone

(928) 779-3666

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Geisel, DDSNPI 1497167134

Title

President/Dentist

Phone

(928) 779-3666

Specialties & licenses 1

Addresses

Other names 1

• HIgh Country Family Dentistry Doing business as

Locations

Practitioners 1

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

• Kurt Geisel, DDS

  • Dentist
  • Phoenix, AZ
  • NPI 1497167134
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401321600000",
    "number": "1295810414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013056",
            "telephone_number": "928-779-3666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 N HUMPHREYS ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860013056",
            "telephone_number": "928-779-3666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT GEISEL DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2014-05-29",
        "status": "A",
        "authorized_official_last_name": "GEISEL",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT/DENTIST",
        "authorized_official_telephone_number": "928-779-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "AZ",
            "license": "5669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIgh Country Family Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ryan Kruse, LAC
• Paul Kuefler, M.D.
• Sarah Kuismi
• David Jun Kumasaka, MD
• Mark Kurchak, D.D.S., M.S.
• Andrew Ryan Kurtz, PHARM. D.
• Cherisse Costas Kutyreff, ATC/L
• Jackie M Kypta, RNFA
• L. Scott Seaman, DDS, PLLC
• La Laser Center PC, a Professional Medical Corporation

• Dentist in Flagstaff, AZ
• Providers in Flagstaff, AZ by specialty
• Dentist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.