Courtney Kaba, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

61793 Issued in KS

Practice address

1001 Cody Ave
Hays, KS 67601-2430

Phone

(785) 625-7369

Fax

(785) 625-7667

NPI assigned

Jun 3, 2020

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1356965586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 GOLDEN RIDGE RD APT 207",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804018857",
            "telephone_number": "785-259-0451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 CODY AVE",
            "city": "HAYS",
            "state": "KS",
            "postal_code": "676012430",
            "telephone_number": "785-625-7369",
            "fax_number": "785-625-7667"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Kings Crossing #206",
            "address_purpose": "LOCATION",
            "city": "Winter Park",
            "state": "CO",
            "postal_code": "80482",
            "country_code": "US",
            "telephone_number": "970-726-8290",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1625 Miner St",
            "address_purpose": "LOCATION",
            "city": "Idaho Springs",
            "state": "CO",
            "postal_code": "804525097",
            "country_code": "US",
            "telephone_number": "303-567-4412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KABA",
        "first_name": "COURTNEY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN00204455",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "61793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Douglas Jones, PHARM.D.
• Paul W Jones, D.D.S
• Stacey R Jones, O.D.
• Stephanie Jean Jones, CRNA
• Jubilee Eye Care, LLC (Vision Source of Hays)
• William Kaberlein
• Kaira M. Hayes
• Carrie Kaltenbach, RN
• Greg Kandt, ED.D, ACSM RCEP
• Kansas City Vamc

• General Practice Dentistry in Hays, KS
• Providers in Hays, KS by specialty
• General Practice Dentistry in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.