NPIMap

Organization Active NPI

Couch Dental Corp.

  • Dentist
  • Thousand Oaks, CA
National Provider Identifier
1104162494
Registry record updated Dec 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
41909 Issued in CA
Legal business name
COUCH DENTAL CORP.
Practice address
216 Lombard St
Thousand Oaks, CA 91360-5806
Phone
(805) 497-8077
Fax
(805) 496-4844
NPI assigned
Dec 14, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2012

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

Authorized official

Name
Dr. Curtis R. Couch, D.D.S
Title
Owner
Phone
(805) 497-8077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 41909 CA Primary

Addresses

Primary practice location

216 Lombard St
Thousand Oaks, CA 91360-5806

Mailing address

216 Lombard St
Thousand Oaks, CA 91360-5806
Phone (805) 497-8077

Other names 1

  • Curtis R. Couch, DDS Other name

National Provider Directory

National Provider Directory

Locations

216 Lombard St
Thousand Oaks, CA 91360
Phone (805) 497-8077

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355443200000",
    "number": "1104162494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605806",
            "telephone_number": "805-497-8077",
            "fax_number": "805-496-4844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LOMBARD ST",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913605806",
            "telephone_number": "805-497-8077",
            "fax_number": "805-496-4844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUCH DENTAL CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-14",
        "last_updated": "2012-12-14",
        "status": "A",
        "authorized_official_last_name": "COUCH",
        "authorized_official_first_name": "CURTIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-497-8077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "41909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Curtis R. Couch, DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; 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.