Ioanna Koukousaki

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

40158 Issued in TX

Practice address

1870 N Stonebridge Dr # 110
McKinney, TX 75071-7443

Phone

(214) 592-0692

NPI assigned

Dec 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• North Texas Dental Surgery PLLC

  • Dental Clinic/Center
  • McKinney, TX
  • NPI 1740972314
  NPD
• NTDS Grapevine

  • Periodontics
  • McKinney, TX
  • NPI 1922790591
  NPD
• NTDS Plano

  • Dental Clinic/Center
  • Plano, TX
  • NPI 1588354492
  NPD (past)

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

{
    "created_epoch": "1701648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1497521223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6150 ALMA RD APT 1439",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750706965",
            "telephone_number": "817-908-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 N STONEBRIDGE DR # 110",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717443",
            "telephone_number": "214-592-0692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5949 Dallas Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750937812",
            "country_code": "US",
            "telephone_number": "214-592-0692",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOUKOUSAKI",
        "first_name": "IOANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-04",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "TX",
            "license": "40158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@northtexasdentalsurgery.com",
            "affiliation": "Y",
            "endpointDescription": "Email",
            "affiliationName": "North Texas Dental Surgery",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "1870 N Stonebridge Dr # 110",
            "city": "McKinney",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750717443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Belsy Jose Koruthu, WHCNP
• Ashadevi Kosinapalli, DDS
• Michael F Kosir, O.D.
• Edmond Morris Kotary, D.M.D.
• Teresa Kotrla
• Bindu Tejesvi Kovvuri, DMD
• KP Medical Supplies LLC
• Brianna Krall, SLP
• Carmen Kramer, LPC
• Sarah H Kramer, PHD

• Prosthodontics in McKinney, TX
• Providers in McKinney, TX by specialty
• Prosthodontics in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.

Verify at the official NPI Registry.