Individual provider Active NPI

Curtis Allen Dejarnatte, D.M.D.

  • General Practice Dentistry
  • Huntsville, AL
National Provider Identifier
1699114413
Registry record updated Jan 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
6011 Issued in AL
Practice address
2303 Starmount Cir SW
Huntsville, AL 35801-3817
Phone
(256) 533-9035
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6011 AL Primary
Dentist 122300000X 6011 AL

Addresses

Primary practice location

2303 Starmount Cir SW
Huntsville, AL 35801-3817

Mailing address

2303 Starmount Cir SW
Huntsville, AL 35801-3817
Phone (256) 533-9035

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112000978 AL Order and Referring Only - DentistPractitioner - Dentist 6901108620

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6011ALMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421625600000",
    "number": "1699114413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2303 STARMOUNT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013817",
            "telephone_number": "256-533-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 STARMOUNT CIR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358013817",
            "telephone_number": "256-533-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEJARNATTE",
        "first_name": "CURTIS",
        "middle_name": "ALLEN",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2015-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "6011",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "6011",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.