Individual provider Active NPI

Kurt E. Kingseed, D.D.S.

  • General Practice Dentistry
  • Kokomo, IN
National Provider Identifier
1962570218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12008214A Issued in IN
Practice address
2705 S Berkley Rd Ste 1a
Kokomo, IN 46902-8007
Phone
(765) 455-0700
NPI assigned
Dec 2, 2006
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X 12008214A IN Primary

Addresses

Primary practice location

2705 S Berkley Rd Ste 1a
Kokomo, IN 46902-8007

Mailing address

2705 S Berkley Rd Ste 1a
Kokomo, IN 46902-8007
Phone (765) 455-0700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603000833 IN Order and Referring Only - Other (Non-Physician) 7517257520

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1165017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962570218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD STE 1A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028007",
            "telephone_number": "765-455-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 S BERKLEY RD STE 1A",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469028007",
            "telephone_number": "765-455-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINGSEED",
        "first_name": "KURT",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12008214A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.