Jinu Vinu Kurian, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DSO35683 Issued in PA

Practice address

RT 611 Tannersville
Tannersville, PA 18372-0485

Phone

(570) 629-1570

Fax

(570) 629-1187

NPI assigned

Jan 26, 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

Medicare fee-for-service enrollment

Enrolled in NJ

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": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1457599730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 VERNON AVE",
            "city": "HAMBURG",
            "state": "NJ",
            "postal_code": "074191108",
            "telephone_number": "973-209-6252",
            "fax_number": "973-209-8787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RT 611 TANNERSVILLE",
            "city": "TANNERSVILLE",
            "state": "PA",
            "postal_code": "183720485",
            "telephone_number": "570-629-1570",
            "fax_number": "570-629-1187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURIAN",
        "first_name": "JINU",
        "middle_name": "VINU",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DSO35683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tyrone Lee Glass, BSW
• Dianne C. Hickok, CRNP
• Jeffrey R. Wert DMD PC
• Keeping It Real Counseling, LLC
• Elizabeth Jane Kilpatrick, DMD
• Laubach Family Chiropractic LLC (Back 2 Health)
• Elizabeth Anne Laubach, D.C.
• Nathan Richard Laubach, DC
• Leyla Daneshdoost MD PC
• Amy Nicole Mariano, PHARMD

• General Practice Dentistry in Tannersville, PA
• Providers in Tannersville, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; 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.