Individual provider Active NPI

Henie Kurzman

  • General Practice Dentistry
  • Uncasville, CT
National Provider Identifier
1336461318
Registry record updated Feb 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
006075 Issued in CT
Practice address
907 Route 32
Uncasville, CT 06382-1917
Phone
(860) 848-2215
Fax
(860) 848-8844
NPI assigned
Feb 18, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2010

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 006075 CT Primary

Addresses

Primary practice location

907 Route 32
Uncasville, CT 06382-1917

Mailing address

PO Box 465
Uncasville, CT 06382-0465
Phone (860) 848-2215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160119000757 CT Order and Referring Only - DentistPractitioner - Dentist 7315240793

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006075CTMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1266451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266451200000",
    "number": "1336461318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063820465",
            "telephone_number": "860-848-2215",
            "fax_number": "860-848-8844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "907 ROUTE 32",
            "city": "UNCASVILLE",
            "state": "CT",
            "postal_code": "063821917",
            "telephone_number": "860-848-2215",
            "fax_number": "860-848-8844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURZMAN",
        "first_name": "HENIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-18",
        "last_updated": "2010-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CT",
            "license": "006075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uncasville, CT

Sources for this page

Verify at the official NPI Registry.