Edmond Morris Kotary, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

42122 Issued in TX

Practice address

5601 Virginia Pkwy
McKinney, TX 75071-0867

Phone

(945) 294-5690

NPI assigned

Apr 14, 2008

Sex

Male

Sole proprietor

Yes

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

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Feb 10, 2016 through Feb 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kotary, Detar & Associates

  • General Practice Dentistry
  • State College, PA
  • NPI 1629094222
  NPD (past) Authorized official
• Aligned Dental of Centre County, PC

  • Dental Clinic/Center
  • State College, PA
  • NPI 1902440795
  NPD (past)

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1174797997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "827 KNOLL MANOR CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751047807",
            "telephone_number": "814-574-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VIRGINIA PKWY",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750710867",
            "telephone_number": "945-294-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTARY",
        "first_name": "EDMOND",
        "middle_name": "MORRIS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-14",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "42122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muna Koro, DDS, MS
• Nathan S Kortu Jr., LPC
• Belsy Jose Koruthu, WHCNP
• Ashadevi Kosinapalli, DDS
• Michael F Kosir, O.D.
• Teresa Kotrla
• Ioanna Koukousaki
• Bindu Tejesvi Kovvuri, DMD
• KP Medical Supplies LLC
• Brianna Krall, SLP

• General Practice Dentistry in McKinney, TX
• Providers in McKinney, 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 Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.