Kathryn L Horutz, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4012 Issued in ME

Practice address

173 Ocean Ave
Portland, ME 04103-5728

Phone

(207) 772-1205

Fax

(207) 773-7414

NPI assigned

Aug 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in ME

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

Practice roles

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.

• Kathryn L. Horutz, D.M.D. LLC

  • General Practice Dentistry
  • Portland, ME
  • NPI 1639384142
  NPD (past) Authorized official

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1508874413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035728",
            "telephone_number": "207-772-1205",
            "fax_number": "207-773-7414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 OCEAN AVE",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041035728",
            "telephone_number": "207-772-1205",
            "fax_number": "207-773-7414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORUTZ",
        "first_name": "KATHRYN",
        "middle_name": "L",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "3241",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "ME",
            "license": "4012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30302635",
            "state": "NH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SH",
            "identifier": "02Y003864NH01",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kayla Mae Horner, LMSW-CC
• Allyson Rebecca Hornstein, CNM
• Kelly Horsley, MD
• Camilla Roe Horton, PA-C
• Susan Horton
• Mandi Ann Horwath, APRN - NNP-BC
• Melissa Jane Hoskins, LCSW
• Hospital Osteopathic Manipulative Medicine PC
• Emma Ruth Hostetter, MD
• Heidi Marissa Hotin, D.O.

• General Practice Dentistry in Portland, ME
• Providers in Portland, ME by specialty
• General Practice Dentistry in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.