Organization Active NPI

D. Kennon Curtis Jr. DMD PC

  • Pediatric Dentistry
  • Madison, AL
National Provider Identifier
1386017481
Registry record updated Nov 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
6217 C1 Issued in AL
Legal business name
D. KENNON CURTIS JR. DMD PC
Practice address
7771 Highway 72 W
Ste B
Madison, AL 35758-8813
Phone
(256) 325-6595
Fax
(256) 325-6597
NPI assigned
Nov 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2015

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

Authorized official

Name
Dr. David Kennon Curtis Jr., DMDNPI 1487939435
Title
Owner
Phone
(256) 325-6595

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 6217 C1 AL Primary

Addresses

Primary practice location

7771 Highway 72 W
Ste B
Madison, AL 35758-8813

Mailing address

7771 Highway 72 W
Ste B
Madison, AL 35758-8813

Other identifiers 1

IdentifierTypeStateIssuer
1487939435OtherALINDIVIDUAL NPI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1447200000000",
    "number": "1386017481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7771 HIGHWAY 72 W",
            "address_2": "STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7771 HIGHWAY 72 W",
            "address_2": "STE B",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357588813",
            "telephone_number": "256-325-6595",
            "fax_number": "256-325-6597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D. KENNON CURTIS JR. DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-11",
        "last_updated": "2015-11-11",
        "status": "A",
        "authorized_official_last_name": "CURTIS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "KENNON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-325-6595",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "AL",
            "license": "6217 C1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1487939435",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; 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.