Kurt T Scheetz DDS PA

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5788 Issued in NC

Legal business name

KURT T SCHEETZ DDS PA

Practice address

1301 N Howe Street
Southport, NC 28461-0355

Phone

(910) 457-5061

Fax

(910) 457-4707

NPI assigned

Apr 16, 2008

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kurt Thomas Scheets, DDS PA

Title

Owner

Phone

(910) 457-5061

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kurtis Bryan, DMD

  • General Practice Dentistry
  • Southport, NC
  • NPI 1477040475
  NPD (past)
• Kurt Thomas Scheetz, DDS

  • Dentist
  • Southport, NC
  • NPI 1275640898
  NPD (past)

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

{
    "created_epoch": "1208304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1841464377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10355",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284610355",
            "telephone_number": "910-457-5061",
            "fax_number": "910-457-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 N HOWE STREET",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284610355",
            "telephone_number": "910-457-5061",
            "fax_number": "910-457-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KURT T SCHEETZ DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-16",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "SCHEETS",
        "authorized_official_first_name": "KURT",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "910-457-5061",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS PA"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "5788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8997612",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eileen Klitsch, PHD
• Maggie Meadows Kornblum, PHARMD
• Jacob Kramell, PT, DPT
• Kimberlee Kreuzer
• Brian Andrew Kulz, PHARMD
• Benita Laforte, REGISTED NURSE
• Matthew John Landfried, MD
• Michael Guy Langley, BS
• Larry L Hemby
• Learn Inspire Thrive-Lit Teen Substance Use Program

• General Practice Dentistry in Southport, NC
• Providers in Southport, NC by specialty
• General Practice Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.