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Export Provider Record NPI 1053961797
Andrew KurtzDDS
Active
NPI Number1053961797
NPI TypeNPI-1 Individual
SpecialtyDentist, General Practice
Provider Details
NPI1053961797
NPI TypeNPI-1 Individual
StatusActive
Enumeration Date2019-09-15
Last Updated2019-09-15
Mailing Address1313 Gilman St # A
Berkeley, CA 94706-2431
United States
Phone: (510) 526-7546
📍 View Map
Primary Practice Address1313 Gilman St # A
Berkeley, CA 94706-2431
United States
Phone: (510) 526-7546
📍 View Map
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes1223G0001X – Dentist, General PracticeCA104346
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About NPI 1053961797

Andrew Kurtz DDS is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053961797. The primary specialty listed is Dentist, General Practice. The provider is located in Berkeley, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2019-09-15. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053961797?

NPI 1053961797 belongs to Andrew Kurtz DDS, a Dentist, General Practice in Berkeley, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053961797 active?

The current status of NPI 1053961797 in the NPPES registry is Active. The record was last updated on 2019-09-15.

What specialty is NPI 1053961797?

NPI 1053961797 is classified under the taxonomy Dentist, General Practice. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053961797?

You can verify NPI 1053961797 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053961797?

The primary practice address on file for NPI 1053961797 is 1313 Gilman St # A, Berkeley, CA 94706-2431. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053961797 issued?

NPI 1053961797 was first issued (enumerated) on 2019-09-15. The NPPES record was last updated on 2019-09-15.

Practice Location Map

Andrew Kurtz is located at 1313 Gilman St # A, Berkeley, CA. Use the map below to find directions or verify the practice location.

📍 1313 Gilman St # A, Berkeley, CA 94706-2431  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Andrew Kurtz. All records sourced from the CMS NPPES registry.

License Information

The following state license numbers are on file in the NPPES registry for NPI 1053961797. For license status verification, contact the relevant state licensing board directly.

Specialty / TaxonomyLicense NumberState
Dentist, General Practice104346CA
Data Verified from CMS NPPES Last synced: 2026-06-16 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162