Aliaksandr Kurshuk, DDS, MSD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

2901021459 Issued in MI

Practice address

2240 E Mitchell Rd Unit 3
Petoskey, MI 49770-6602

Phone

(231) 881-9596

Fax

(231) 881-9598

NPI assigned

Feb 28, 2014

Last updated

Feb 7, 2017By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1393545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486425600000",
    "number": "1811312705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 E MITCHELL RD UNIT 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706602",
            "telephone_number": "231-881-9596",
            "fax_number": "231-881-9598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 E MITCHELL RD UNIT 3",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497706602",
            "telephone_number": "231-881-9596",
            "fax_number": "231-881-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURSHUK",
        "first_name": "ALIAKSANDR",
        "name_prefix": "Dr.",
        "credential": "DDS, MSD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-28",
        "last_updated": "2017-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IN",
            "license": "12011766A",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MI",
            "license": "2901021459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tamara Kuhn, PT
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• Mark Jeremy Kulbieda, M.D.
• Kulman Chiropractic Center P.C.
• Daniel Marvin Kulman, D.C.
• Elizabeth Diane La Framboise, M.A., CCC-SLP
• Timothy Robert La Gasse, NP
• Russell Frederick Labeau Jr.
• Ladybug Social Work Services PLLC
• Lake Effect Restoration

• Orthodontics and Dentofacial Orthopedics Dentistry in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.