DR. KURTIS GLEN LIGHTHEART (NPI# 1235242801) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235242801 |
| Entity Type | Individual |
| Full Name | DR. KURTIS GLEN LIGHTHEART |
| Credential | DMD |
| Practice Address |
5005 N. Piedras St. Dentac El Paso TX 79920-5001 |
| Mailing Address |
12704 Tierra Lily Ct El Paso TX 79938-5372 |
| Practice Telephone | 9157425935 |
| Practice Fax Number | 9157425174 |
| Mailing Telephone | 5804581217 |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2011-09-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 122300000X | Dentist | 8396 | KY | Dental Providers |
| Y | 1223X0400X |
Dentist Specialization: Orthodontics and Dentofacial Orthopedics |
26356 | TX | Dental Providers |
| Street Address |
5005 N. PIEDRAS ST. DENTAC |
| City | EL PASO |
| State | TX |
| Zip Code | 79920-5001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396356705 | William Herron | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2020-08-11 |
| 1477164788 | Brandan Allen Garcia | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2020-08-11 |
| 1306489877 | Rhoda Marie Anderson | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920-5000 | 2019-10-28 |
| 1255986097 | Brian Richard Carlson | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2019-08-08 |
| 1699320507 | Zachary Robbins | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., El Paso, TX 79920 | 2019-08-07 |
| 1619441045 | Victor Alan Neff | Dental Hygienist | 5005 N. Piedras St., El Paso, TX 79920 | 2019-01-18 |
| 1366932451 | Carleen Frances Laplant | Physical Therapist | 5005 N. Piedras St., El Paso, TX 79920 | 2018-05-14 |
| 1205356482 | Tyler Clare Nicholson | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., William Beaumont Army Medical Center Attn: Gme, El Paso, TX 79920-5001 | 2017-06-20 |
| 1013437292 | Charles Warren Giles Mounts | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., William Beaumont Army Medical Center Attn: Gme, El Paso, TX 79920-5001 | 2017-06-20 |
| 1720508989 | Courtland N'gwan-kofi Kouassiaman | Student in an Organized Health Care Education/Training Program | 5005 N. Piedras St., William Beaumont Army Medical Center Attn: Gme, El Paso, TX 79920-5001 | 2017-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518512607 | Haley Yaw | Student in an Organized Health Care Education/Training Program | 5005 North Piedras Ave, El Paso, TX 79920 | 2019-08-06 |
| 1225521636 | Kelsea Killin | Student in an Organized Health Care Education/Training Program | Wbamc/dom/gme, 5005 N Piedras Street, El Paso, TX 79920 | 2018-06-11 |
| 1891216594 | Timothy C Gilligan | Student in an Organized Health Care Education/Training Program | Attn: Mchm-dos-gsr, Wbamc, 5005 N. Piedras St, El Paso, TX 79920 | 2017-07-03 |
| 1285180893 | Adelina Ibanez | Dental Assistant | 5005 N. Piedras St. 2nd Floor Rm 2112, William Beaumont Army Medical Center, El Paso, TX 79920 | 2016-09-01 |
| 1740657907 | Sondra Reynolds | Social Worker | 505 N Piedras St, El Paso, TX 79920 | 2015-08-24 |
| 1407279557 | Therese Hadden | Social Worker | 2489 Ricker Road, El Paso, TX 79920 | 2014-01-27 |
| 1265710032 | Courtney Rose Usry | Internal Medicine | 5005 N Piedras St., El Paso, TX 79920 | 2011-07-28 |
| 1760789010 | Debra Dianca Ingle-munoz | Social Worker | Wbamc, 5005 N. Piedras, El Paso, TX 79920 | 2011-02-23 |
| 1467688325 | Silvia Ursula Green | Radiology | 5005 N. Piedras Strees, El Paso, TX 79920 | 2009-06-05 |
| 1184803058 | Nora Dougan Hussey | Family Medicine | 5505 North Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920 | 2007-10-29 |
| Find all providers in zip 79920 | ||||
| Taxonomy Code | 1223X0400X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Orthodontics and Dentofacial Orthopedics |
| That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558925438 | Smiles 4 Less Orthodontics, P.a. | Dentist | 7480 Remcon Cir, El Paso, TX 79912 | 2019-04-26 |
| 1982198941 | Seth Culler | Dentist | 1502 N Zaragoza Rd # B, El Paso, TX 79936-7905 | 2018-06-21 |
| 1902334535 | Rivera Orthodontics and Associates, Pllc. | Dentist | 1514 N Zaragoza Rd Ste A2, El Paso, TX 79936-8040 | 2017-05-26 |
| 1730594896 | Jaime Rivera Orthodontics, P.C. | Dentist | 6901 Helen of Troy Ste D1, El Paso, TX 79911-3130 | 2014-06-27 |
| 1538416201 | Andrew Dickson Taylor | Dentist | 300 S Florence St, #31n, El Paso, TX 79901-2547 | 2012-08-13 |
| 1255602868 | Orthodontix Ltd of West El Paso, Pllc | Dentist | 7500 N Mesa St Ste 304, El Paso, TX 79912-3512 | 2012-01-13 |
| 1134490741 | Orthodontix Ltd of South East El Paso, Pllc | Dentist | 7878 Gateway Blvd E Ste 300, El Paso, TX 79915-1802 | 2012-01-13 |
| 1649550716 | Espri Dental PC | Dentist | 1319 George Dieter Dr Ste H, El Paso, TX 79936-7483 | 2011-08-22 |
| 1114229416 | David Clayden | Dentist | 7878 Gateway Blvd E Ste 201, El Paso, TX 79915-1802 | 2010-11-19 |
| 1164736500 | Sun Orthodontix of Far East El Paso Pllc | Dentist | 1971 Zaragoza Rd, Suite A, El Paso, TX 79938-7983 | 2010-07-27 |
| Find all providers in EL PASO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.