Thomas Keith Courtney, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11939 Issued in MO

Practice address

302 Park Ave
Stewartsville, MO 64490-7122

Phone

(816) 669-3611

Fax

(816) 669-3253

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Enrolled in MO

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Thomas K. Courtney, DDS, Ubo

  dba Thomas K. Courtney, DDS

  • General Practice Dentistry
  • Stewartsville, MO
  • NPI 1740352707
  NPD (past) Authorized official

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1487765244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "644907122",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "644907122",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COURTNEY",
        "first_name": "THOMAS",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Calico's Safe Haven, LLC
• Cameron Regional Medical Center Inc (Stewartsville Medical Clinic)
• Christopher M Ostendorf DDS LLC
• James Louis Muller
• New Era Counseling Services LLP (New Era Counseling Services)
• Stewartsville School Consolidated County of de Kalb (Stewartsville C-2)
• Thomas K. Courtney, DDS, Ubo (Thomas K. Courtney, DDS)

• General Practice Dentistry in Stewartsville, MO
• Providers in Stewartsville, MO by specialty
• General Practice Dentistry in Missouri

• 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.
• 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.