Organization Active NPI

Kurt D James DDS PC

  • General Practice Dentistry
  • Troy, IL
National Provider Identifier
1568634848
Registry record updated Mar 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019025675 Issued in IL
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

Updated by the provider on Mar 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1457456923OtherILTYPE I NPI

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.