Individual provider Active NPI

Bruce D. Kurek, DDS

  • Dentist
  • Highland, NY
National Provider Identifier
1952598450
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
34208 Issued in NY
Practice address
494 Route 299
Highland, NY 12528-2833
Phone
(845) 691-5600
Fax
(845) 691-8633
NPI assigned
Sep 28, 2007
Last updated
Sep 28, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 34208 NY Primary

Addresses

Primary practice location

494 Route 299
Highland, NY 12528-2833

Mailing address

494 Route 299
Highland, NY 12528-2833
Phone (845) 691-5600

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

LicenseStateTypeSpecialty
34208NYMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1190937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190937600000",
    "number": "1952598450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "494 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282833",
            "telephone_number": "845-691-5600",
            "fax_number": "845-691-8633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "494 ROUTE 299",
            "city": "HIGHLAND",
            "state": "NY",
            "postal_code": "125282833",
            "telephone_number": "845-691-5600",
            "fax_number": "845-691-8633"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUREK",
        "first_name": "BRUCE",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-28",
        "last_updated": "2007-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "34208",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2007; 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.