Active NPI
Kurt D James DDS PC
- General Practice Dentistry
- Troy, IL
National Provider Identifier
1568634848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 019025675
- Legal business name
- KURT D JAMES DDS PC
- Practice address
- 550 Edwardsville Rd
Troy, IL 62294-1338 - Phone
- (618) 667-3446
- Fax
- (618) 667-4141
- NPI assigned
- Mar 27, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kurt Dick James, DDS PC
- Title
- President
- Phone
- (618) 667-3446
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 019025675 | IL | Primary |
Addresses
Primary practice location
550 Edwardsville Rd
Troy, IL 62294-1338
Mailing address
550 Edwardsville Rd
Troy, IL 62294-1338
Phone (618) 667-3446
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457456923 | Other | IL | TYPE I NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1206576000000",
"number": "1568634848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 EDWARDSVILLE RD",
"city": "TROY",
"state": "IL",
"postal_code": "622941338",
"telephone_number": "618-667-3446",
"fax_number": "618-667-4141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 EDWARDSVILLE RD",
"city": "TROY",
"state": "IL",
"postal_code": "622941338",
"telephone_number": "618-667-3446",
"fax_number": "618-667-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KURT D JAMES DDS PC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-27",
"last_updated": "2008-03-27",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "KURT",
"authorized_official_middle_name": "DICK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "618-667-3446",
"authorized_official_credential": "DDS PC"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "019025675",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE I NPI",
"identifier": "1457456923",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Troy, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.