Kurt Michael Homb, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

019.027634 Issued in IL

Practice address

365 Surryse Rd
Suite 170
Lake Zurich, IL 60047-2679

Phone

(847) 438-6485

NPI assigned

Aug 4, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245456000000",
    "number": "1679739205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 SURRYSE RD",
            "address_2": "SUITE 170",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472679",
            "telephone_number": "847-438-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 SURRYSE RD",
            "address_2": "SUITE 170",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600472679",
            "telephone_number": "847-438-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOMB",
        "first_name": "KURT",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-04",
        "last_updated": "2009-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.027634",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Michelle Herzmann
• Highland Park CVS LLC
• Thanh Thai Ho Dac
• Gabrielle Hofer
• Tiffany Nicole Holland, M.D.
• Randy J Horning, DC, CCSP
• Michael E Hosfield, MA, LCPC
• Amy Michelle Johnson Howard, DO
• Kelly Howell, PHARMD
• Barbara Lee Hubbard, D.N.

• General Practice Dentistry in Lake Zurich, IL
• Providers in Lake Zurich, IL by specialty
• General Practice Dentistry in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2009; 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.