Kurt E. Delius, D.D.S., M.S.
Individual provider Active NPI Periodontics · Austin, TX
NPI 1609878321 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1609878321
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Periodontics 1223P0300X
- License
- 16698 (TX)
- Practice address
- 10123 Lake Creek Pkwy
Building 1
Austin, TX 78729-1754 - Phone
- (512) 335-3600
- Fax
- (512) 335-9771
- NPI assigned
- Aug 12, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160219000417 | TX | Order and Referring Only - Dentist |
4587969100 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16698 | TX | MD | Professional Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 16698 | TX | Yes |
Addresses
Primary practice location
10123 Lake Creek Pkwy
Building 1
Austin, TX 78729-1754
Mailing address
10123 Lake Creek Pkwy
BLDG 1
Austin, TX 78729-1755
Phone (512) 266-8381
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.