NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Dr. Jack Ursic, PA

General Practice Dentistry in Lusby, MD · enumerated 2007 · authorized official Connie Pruitt, Office Manager.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1194944744

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Dr. Jack Ursic, PA
Practice address 10025 Hg Trueman Rd, Lusby, MD, 20657
Fax (410) 326-9311
Enumeration date Apr 24, 2007
Last updated in NPPES Aug 22, 2020

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 7289 (MD) Primary

Authorized official

Name Connie Pruitt
Title Office Manager

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Dr. Jack Ursic, PA?
The NPI for Dr. Jack Ursic, PA is 1194944744, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Dr. Jack Ursic, PA?
NPPES lists Connie Pruitt (Office Manager) as the authorized official for this organization.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-22.