Nadeem J Koussa, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

3020069 Issued in OH

Practice address

13477 Prospect Rd
Suite 212
Strongsville, OH 44149-3867

Phone

(440) 268-0768

Fax

(440) 268-0739

NPI assigned

Jul 12, 2006

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

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.

• NJK Premier Family Dental, Inc.

  • General Practice Dentistry
  • Strongsville, OH
  • NPI 1366467284
  NPD (past) Authorized official
• Hossam Asaad DMD LLC

  • Dentist
  • Strongsville, OH
  • NPI 1215882279
  NPD (past)

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194740001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13477 PROSPECT RD",
            "address_2": "SUITE 212",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441493867",
            "telephone_number": "440-268-0768",
            "fax_number": "440-268-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13477 PROSPECT RD",
            "address_2": "SUITE 212",
            "city": "STRONGSVILLE",
            "state": "OH",
            "postal_code": "441493867",
            "telephone_number": "440-268-0768",
            "fax_number": "440-268-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUSSA",
        "first_name": "NADEEM",
        "middle_name": "J",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "3020069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Koinonia Partners Unlimited, LLC
• Koinonia Partners Unlimited, LLC
• Maureen A Kolasky
• Rebecca Sue Konn
• Gabriella Elaine Koussa, DMD
• Paulina Kovach, LSW
• Shirley Ann Kowalski
• Christopher Kozel
• Sarah Marie Kozumplik
• Amber Ann Krems, LISW-S

• General Practice Dentistry in Strongsville, OH
• Providers in Strongsville, OH by specialty
• General Practice Dentistry in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.