Jacklyn Kurth, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

48937 Issued in CA

Practice address

2100 Carlmont Dr
Suite #6
Belmont, CA 94002-3482

Phone

(650) 592-4850

Fax

(650) 592-4872

NPI assigned

May 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619185956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 CARLMONT DR",
            "address_2": "SUITE #6",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023482",
            "telephone_number": "650-592-4850",
            "fax_number": "650-592-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 CARLMONT DR",
            "address_2": "SUITE #6",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940023482",
            "telephone_number": "650-592-4850",
            "fax_number": "650-592-4872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTH",
        "first_name": "JACKLYN",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "48937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Ellen Knopf, PMHNP
• Khai Kober
• Elizabeth Kocot, M.D.
• Ronald Mark Korwald, ADDICTIONOLOGIST
• Sarah E Kremer, A.T.R.-B.C.
• Hannah Beryl Lammert, ASW
• Rochelle Hochhauser Lane, L.AC.,OMD
• Michael Edward Lara Jr., M.D.
• Latino Commission on Alcohol and Drug Abuse Services of San Mateo Coun
• Uyen Thuc Le, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in Belmont, CA
• Providers in Belmont, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.