Joshua Kyle Couillard, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

39713 Issued in TX

Practice address

1410 N Loop 336 W
Conroe, TX 77304-3504

Phone

(936) 441-0481

NPI assigned

Jun 21, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1687305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687305600000",
    "number": "1023793528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15533 EAGLE TAVERN LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203705",
            "telephone_number": "703-825-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 N LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043504",
            "telephone_number": "936-441-0481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COUILLARD",
        "first_name": "JOSHUA",
        "middle_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-21",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "39713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Socorro Cortes, CHW
• Wilberto G. Cortes
• Costco Wholesale Corporation
• Miranda Costin, PHARMD
• Susan C Cote', RNC WHNP
• Edith Marie Coulter, LVN
• Counseling Center of Montgomery County
• Aubrey Covington
• Donna D Covington
• Samuel Covington

• General Practice Dentistry in Conroe, TX
• Providers in Conroe, TX by specialty
• General Practice Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.