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Deactivated NPI 1902994163 Deactivated / Inactive NPI Male Practitioner

James Reuter Kersten

Dentist - General Practice • Arlington, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, James Kersten has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 11, 2006
NPI Deactivation Date May 25, 2018
Total Practice Duration ~12 Years of Practice (2006 – 2018)

Professional Overview & Biography Verified Profile Summary

James Kersten was a registered Dentist - General Practice practicing in Arlington, TX. Throughout an active medical career spanning 12 years, James Kersten provided care at the practice location at 1625 PECAN PARK DRIVE until profile deactivation on 2018-05-25.

Practice Location & Contact Primary Location

Practice Address

1625 Pecan Park Drive

Arlington, TX 76012

Telephone 8172771171
Fax 8174594332
Associated Practice Facility / Clinic
🏢 Soh Of Texas Samson Liu Pllc Facility NPI 1275000135

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Arlington, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.3 Yrs
Regional Practice Density
145 Specialists

Practicing in Arlington, TX (10570 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License TX 8971

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 25, 2018

Record deactivated on May 25, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1625 PECAN PARK DRIVE, ARLINGTON, TX 76012 (Tel: 8172771171)

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Updated Business Mailing Address July 08, 2007

Registered at 1625 PECAN PARK DRIVE, ARLINGTON, TX 76012 (Tel: 8172771171)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JAMES KERSTEN

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #8971 in TX)

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Initial NPI Registration & Enumeration October 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902994163
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 11, 2006
Last Update: July 08, 2007
Deactivation Date: May 25, 2018

Mailing Address

1625 Pecan Park Drive

Arlington, TX 76012

Phone: 8172771171

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.