Organization Active NPI

Richard F. Koup D.M.D. & Associates LLC

  • General Practice Dentistry
  • Malvern, PA
National Provider Identifier
1598890667
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018758L Issued in PA
Legal business name
RICHARD F. KOUP D.M.D. & ASSOCIATES LLC
Practice address
325 Central Ave
Suite 101
Malvern, PA 19355-3219
Phone
(610) 644-0408
Fax
(610) 647-1024
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Richard F. Koup, D.M.D.
Title
Principal
Phone
(610) 644-0408

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DS018758L PA Primary

Addresses

Primary practice location

325 Central Ave
Suite 101
Malvern, PA 19355-3219

Mailing address

325 Central Ave
Suite 101
Malvern, PA 19355-3219
Phone (610) 644-0408

National Provider Directory

National Provider Directory

Locations

325 Central Ave
Ste 101
Malvern, PA 19355
Phone (610) 644-0408

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1598890667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553219",
            "telephone_number": "610-644-0408",
            "fax_number": "610-647-1024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CENTRAL AVE",
            "address_2": "SUITE 101",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193553219",
            "telephone_number": "610-644-0408",
            "fax_number": "610-647-1024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F. KOUP D.M.D. & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOUP",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "610-644-0408",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS018758L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.