Jada Irene Kurth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

08641 Issued in IA

Practice address

2928 Hamilton Blvd Uppr E
Sioux City, IA 51104-2424

Phone

(712) 255-5754

Fax

(712) 224-2075

NPI assigned

Jul 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jada Irene Agnes Former name

Medicare fee-for-service enrollment

Enrolled in IA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1376772103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2928 HAMILTON BLVD UPPR E",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042424",
            "telephone_number": "712-255-5754",
            "fax_number": "712-224-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2928 HAMILTON BLVD UPPR E",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511042424",
            "telephone_number": "712-255-5754",
            "fax_number": "712-224-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTH",
        "first_name": "JADA",
        "middle_name": "IRENE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IA",
            "license": "08641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADA",
            "last_name": "AGNES",
            "middle_name": "IRENE",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Blake Kuiper, DDS
• Mitchell Wade Kulawik, B.S., C.A.D.C
• Pamela A Kumpf, LBSW
• Timothy R Kuntz, DDS MS
• Sydney Rian Kunzweiler, M.A., CFY-SLP
• Joseph Adam Kurth, MD
• Madison Anaiah Kurtz
• Holly Marie Kutz, RN
• L & M Pharmacy Care
• Kathleen Michele Dorcey Lafavor, D.O.

• Dentist in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Dentist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.