Individual provider Active NPI

Jack Curtis, DDS

  • Dentist
  • Kerrville, TX
National Provider Identifier
1407589138
Registry record updated Sep 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
38597 Issued in TX
Practice address
710 Hill Country Dr Ste 1
Kerrville, TX 78028-6168
Phone
(830) 257-3000
NPI assigned
Jul 9, 2022
Last updated
Sep 25, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 38597 TX Primary

Addresses

Primary practice location

710 Hill Country Dr Ste 1
Kerrville, TX 78028-6168

Mailing address

710 Hill Country Dr Ste 1
Kerrville, TX 78028-6168
Phone (830) 257-3000

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
38597TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Sezac Partners PLLC CurrentSince Oct 29, 2023 Accepting new patients

Locations

710 Hill Country Dr
Ste 1
Kerrville, TX 78028
Phone (830) 257-3000

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1657324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695600000000",
    "number": "1407589138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 HILL COUNTRY DR STE 1",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286168",
            "telephone_number": "830-257-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 HILL COUNTRY DR STE 1",
            "city": "KERRVILLE",
            "state": "TX",
            "postal_code": "780286168",
            "telephone_number": "830-257-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "JACK",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-09",
        "last_updated": "2023-09-25",
        "certification_date": "2023-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "38597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kerrville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; 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.