Active NPI
Rami Koro
- Dentist
- Stephenville, TX
National Provider Identifier
1265967483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 33774
- Practice address
- 135 River North Blvd
Stephenville, TX 76401-1804 - Phone
- (254) 965-2810
- NPI assigned
- Apr 25, 2017
- Last updated
- Feb 1, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019031073 | IL | |
| Dentist | 122300000X | 33774 | TX | Primary |
Addresses
Primary practice location
135 River North Blvd
Stephenville, TX 76401-1804
Mailing address
3756 Buchanan St
McKinney, TX 75071-2449
Phone (909) 747-2159
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019031073 | IL | MD | Dentist |
| 33774 | TX | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1493078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1265967483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3756 BUCHANAN ST",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750712449",
"telephone_number": "909-747-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 RIVER NORTH BLVD",
"city": "STEPHENVILLE",
"state": "TX",
"postal_code": "764011804",
"telephone_number": "254-965-2810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORO",
"first_name": "RAMI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-25",
"last_updated": "2023-02-01",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019031073",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "33774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stephenville, TX
- Kevin Paul Kirkpatrick, OTR
- KN Dental Clinic Inc (Haley Dental)
- Knichols & Bnichols Healthcare Inc. (Stephenville Nursing Home)
- Richard Kochoa, PT, DPT, MD, TPS
- Jordan Kondikoff
- Brittany Krueger, D.C.
- KTD, PLLC (Convenient Care Clinic)
- Stephen M Laduque, DDS PA
- Jennifer Nicole Lancaster, PHD, LAT, ATC
- Allissa Lane
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.