Nicholas Kouri, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

12012087A Issued in IN

Practice address

308 E Commercial Ave
Lowell, IN 46356

Phone

(219) 696-2100

Fax

(219) 696-3660

NPI assigned

Nov 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Abdullah Alkhouri Former name

Medicare fee-for-service enrollment

Enrolled in IN

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1285708115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "463561708",
            "telephone_number": "219-696-2100",
            "fax_number": "219-696-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 E COMMERCIAL AVE",
            "city": "LOWELL",
            "state": "IN",
            "postal_code": "46356",
            "telephone_number": "219-696-2100",
            "fax_number": "219-696-3660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 E Commercial Ave",
            "address_purpose": "LOCATION",
            "city": "Lowell",
            "state": "IN",
            "postal_code": "46356",
            "country_code": "US",
            "telephone_number": "219-696-2100",
            "fax_number": "219-696-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOURI",
        "first_name": "NICHOLAS",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019-025781",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12012087A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ABDULLAH",
            "last_name": "ALKHOURI",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Johnson, OD
• Allie Jordann Karras, RBT
• Nikola Ilija Katic
• Lora A Klompmaker, MSW, LSW
• Michelle R Koerner, DPT
• Anne Marie Kramer, RPH
• Amanda Lange
• Leah Thomas DDS LLC
• Levin Home Health Inc
• Amanda Lewis, RN

• General Practice Dentistry in Lowell, IN
• Providers in Lowell, IN by specialty
• General Practice Dentistry in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.