James Leon Kurtz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

33948 Issued in CA

Practice address

82 South St
Willits, CA 95490-3949

Phone

(707) 459-0766

Fax

(707) 459-6927

NPI assigned

Jan 11, 2007

Last updated

Apr 22, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1689724619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ROBINSON CREEK RD",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828876",
            "telephone_number": "707-468-0243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 SOUTH ST",
            "city": "WILLITS",
            "state": "CA",
            "postal_code": "954903949",
            "telephone_number": "707-459-0766",
            "fax_number": "707-459-6927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZ",
        "first_name": "JAMES",
        "middle_name": "LEON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "33948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "D3394801",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G9362701",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "B3394801",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kimberly R Faucher MD Medical Corporation
• Kaitlin Knoche
• Margaret Koster, LCSW
• Devon Krepela, MS
• Jordan Katsumi Kruse, RN, FNP
• Eugene Lee
• Levy-Peart Chiropractic Corporation (Willits Chiropractic Clinic)
• Diana E Levy-Peart, DC
• Monte Ira Lieberfarb, M.D.
• Jessica Beth Lifshutz-Grinberg, CPO

• General Practice Dentistry in Willits, CA
• Providers in Willits, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2015; 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.