Active NPI
Kurt M McEuen, D.M.D.
- Dentist
- Windcrest, TX
National Provider Identifier
1750766143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 31756
- Practice address
- 5542 Walzem Rd
Windcrest, TX 78218-2103 - Phone
- (210) 922-7000
- Fax
- (210) 637-2484
- NPI assigned
- Jul 27, 2015
- Last updated
- May 9, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 53489259921 | UT | |
| Dentist | 122300000X | 31756 | TX | Primary |
Addresses
Primary practice location
5542 Walzem Rd
Windcrest, TX 78218-2103
Mailing address
3750 Commercial Ave
San Antonio, TX 78221-3117
Phone (210) 922-7000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 355998101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31756 | TX | MD | Dentist |
| 53489259921 | UT | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462752000000",
"number": "1750766143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 COMMERCIAL AVE",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782213117",
"telephone_number": "210-922-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5542 WALZEM RD",
"city": "WINDCREST",
"state": "TX",
"postal_code": "782182103",
"telephone_number": "210-922-7000",
"fax_number": "210-637-2484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEUEN",
"first_name": "KURT",
"middle_name": "M",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-27",
"last_updated": "2016-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "UT",
"license": "53489259921",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "31756",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "355998101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Windcrest, TX
- Francisco Javier Martinez II, O.D.
- Lauren Cary Martinez, OD
- Rosalba Martinez
- Lisa Isela Massiatte, FNP-C
- Mary R Maynor, RNC-LRN, IBCLC
- Clare Cathryn McNamara, CCC-SLP
- Medina County Hospital District (Windcrest Nursing and Rehabilitation)
- Michael Shatek LLC
- Sylvia Villarreal Milam, COTA
- Brittney Millard, CHW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.