DR. KURTIS GLEN LIGHTHEART


Address: 5005 N. Piedras St., Dentac, El Paso, TX 79920-5001
Phone: 9157425935

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 5005 N. PIEDRAS ST.
DENTAC
City EL PASO
State TX
Zip Code 79920-5001

Providers in the same location

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
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Providers in the same zip code

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 Information

Taxonomy Code 1223X0400X
Grouping Dental Providers
Classification Dentist
Specialization Orthodontics and Dentofacial Orthopedics

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City EL PASO
Zip Code 79920

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Dataset Information

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.

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