Individual provider Active NPI

Richard Couk, D.D.S.

  • General Practice Dentistry
  • Decatur, GA
National Provider Identifier
1326048620
Registry record updated Jun 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN015248 Issued in GA
Practice address
2450 Lawrenceville Highway, Suite 100
Decatur, GA 30033-3269
Phone
(404) 329-0000
NPI assigned
Jul 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 28298 CA
General Practice Dentistry 1223G0001X DN015248 GA Primary

Addresses

Primary practice location

2450 Lawrenceville Highway, Suite 100
Decatur, GA 30033-3269

Mailing address

2543 Flair Knoll CT NE
Atlanta, GA 30345-1311
Phone (539) 895-1244

Other practice location 1

2533 Forest Ave
Chico, CA 95928-7686
Phone (539) 895-1244

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN015248GAMDGeneral Practice Dentistry
28298CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alan J Stein DDS & David B Frankel DMD PC General Practice PastSince Jun 5, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654214400000",
    "number": "1326048620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 FLAIR KNOLL CT NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303451311",
            "telephone_number": "539-895-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 LAWRENCEVILLE HIGHWAY, SUITE 100",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333269",
            "telephone_number": "404-329-0000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2533 Forest Ave",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959287686",
            "country_code": "US",
            "telephone_number": "539-895-1244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUK",
        "first_name": "RICHARD",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-28",
        "last_updated": "2022-06-03",
        "certification_date": "2022-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "28298",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN015248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.