Individual provider Active NPI

Brett J Kurtzman, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Edina, MN
National Provider Identifier
1811960354
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
D11688 Issued in MN
Practice address
7373 France Ave S
Suite 602
Edina, MN 55435-4534
Phone
(952) 835-5003
Fax
(952) 835-9598
NPI assigned
Feb 7, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X D11688 MN Primary

Addresses

Primary practice location

7373 France Ave S
Suite 602
Edina, MN 55435-4534

Mailing address

7373 France Ave S
Suite 602
Edina, MN 55435-4534
Phone (952) 835-5003

Other identifiers 3

IdentifierTypeStateIssuer
86-00345OtherMNMEDICA NUMBER
10034282OtherMNPREF. ONE NUMBER
24875OtherMNBCBS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110110000094 MN Practitioner - Maxillofacial SurgeryPractitioner - Oral Surgery 7719176577 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Maxillofacial Surgery
Education
University of Minnesota School of Dentistry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

250 N Central Ave
Suite 126
Wayzata, MN 55391-1293
Phone (952) 475-2266

7770 Dell Rd
Suite 100
Chanhassen, MN 55317-9316
Phone (952) 975-0605

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Jul 21, 2003 Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery Current Accepting new patients
Oral and Maxillofacial Surgical Consultants PA Oral and Maxillofacial Surgery CurrentSince Jul 21, 2003 Accepting new patients

Locations

7770 Dell Rd
Ste 100
Chanhassen, MN 55317
Phone (952) 435-4150

7373 France Ave S
Ste 602
Edina, MN 55435
Phone (612) 835-5003

6350 W 143rd St
Ste 206
Savage, MN 55378
Phone (952) 435-4150

250 Central Ave N
Ste 126
Wayzata, MN 55391
Phone (952) 475-2266

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1139270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811960354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 602",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-835-5003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7373 FRANCE AVE S",
            "address_2": "SUITE 602",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554354534",
            "telephone_number": "952-835-5003",
            "fax_number": "952-835-9598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURTZMAN",
        "first_name": "BRETT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MN",
            "license": "D11688",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA NUMBER",
            "identifier": "86-00345",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREF. ONE NUMBER",
            "identifier": "10034282",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "24875",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edina, MN

Sources for this page

Verify at the official NPI Registry.