Individual provider Active NPI

Devon Thomas Kooi, DDS

  • General Practice Dentistry
  • Huntsville, TX
National Provider Identifier
1053972935
Registry record updated May 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
35357 Issued in TX
Practice address
2800 Aberdeen Dr
Huntsville, TX 77340-5620
Phone
(936) 295-7401
NPI assigned
Jun 22, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 35357 TX Primary

Addresses

Primary practice location

2800 Aberdeen Dr
Huntsville, TX 77340-5620

Mailing address

2800 Aberdeen Dr
Huntsville, TX 77340-5620
Phone (936) 295-7401

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
35357TXMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Devon T Kooi DDS PLLC General Practice CurrentSince Jun 3, 2025 Accepting new patients

Locations

2800 Aberdeen Dr
Huntsville, TX 77340
Phone (936) 295-7401

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": "1561161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748217600000",
    "number": "1053972935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 ABERDEEN DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405620",
            "telephone_number": "936-295-7401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 ABERDEEN DR",
            "city": "HUNTSVILLE",
            "state": "TX",
            "postal_code": "773405620",
            "telephone_number": "936-295-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOI",
        "first_name": "DEVON",
        "middle_name": "THOMAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-22",
        "last_updated": "2025-05-26",
        "certification_date": "2025-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "35357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2025; 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.