Active NPI
David Kennon Curtis Jr., D.M.D.
- Pediatric Dentistry
- Madison, AL
National Provider Identifier
1487939435
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Dentistry
- License
- 6217
- Practice address
- 7771 Highway 72 W Ste B
Madison, AL 35758-8814 - Phone
- (256) 724-1625
- NPI assigned
- Oct 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 3611-11 | MS | |
| Pediatric Dentistry | 1223P0221X | 6217 | AL | Primary |
Addresses
Primary practice location
7771 Highway 72 W Ste B
Madison, AL 35758-8814
Mailing address
8239 Madison Blvd
Madison, AL 35758
Phone (256) 325-6595
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
| License | State | Type | Specialty |
|---|---|---|---|
| 3611-11 | MS | MD | Dentist |
| 6217 | AL | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. Kennon Curtis Jr. DMD PC | Pediatric Dentistry | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Pediatric Dentistry
- Madison, AL
- NPI 1386017481
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1672876800000",
"number": "1487939435",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8239 MADISON BLVD",
"city": "MADISON",
"state": "AL",
"postal_code": "35758",
"telephone_number": "256-325-6595",
"fax_number": "256-325-6597"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7771 HIGHWAY 72 W STE B",
"city": "MADISON",
"state": "AL",
"postal_code": "357588814",
"telephone_number": "256-724-1625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CURTIS",
"first_name": "DAVID",
"middle_name": "KENNON",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-10-20",
"last_updated": "2023-01-05",
"certification_date": "2023-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MS",
"license": "3611-11",
"primary": false
},
{
"code": "1223P0221X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Pediatric Dentistry",
"state": "AL",
"license": "6217",
"primary": true
}
],
"identifiers": [],
"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 Jan 5, 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.