Individual provider Active NPI

Abdoul R Koroni, DDS

  • Endodontics
  • Houston, TX
National Provider Identifier
1013137967
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
19896 Issued in TX
Practice address
4023 Gulf St
Houston, TX 77087-4723
Phone
(713) 645-8822
Fax
(713) 649-6023
NPI assigned
Apr 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 19896 TX
Endodontics 1223E0200X 19896 TX Primary

Addresses

Primary practice location

4023 Gulf St
Houston, TX 77087-4723

Mailing address

305 Oak Hollow Dr
League City, TX 77573-1767
Phone (281) 338-0374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
19896TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Family Dental PC General Practice Past Accepting new patients

Networks

  • NM HMO C-SNP
  • TX HMO D-SNP

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1013137967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 OAK HOLLOW DR",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775731767",
            "telephone_number": "281-338-0374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 GULF ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770874723",
            "telephone_number": "713-645-8822",
            "fax_number": "713-649-6023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KORONI",
        "first_name": "ABDOUL",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "19896",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "TX",
            "license": "19896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.