Active NPI
Menakshy Koul, D.D.S., M.S.
- Periodontics
- Morgantown, WV
National Provider Identifier
1609915677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Periodontics
- License
- 3717
- Practice address
- 2000 Hampton Ctr Ste a
Morgantown, WV 26505-1704 - Phone
- (304) 599-9558
- Fax
- (304) 599-9559
- NPI assigned
- Feb 6, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Periodontics | 1223P0300X | 3717 | WV | Primary |
Addresses
Primary practice location
2000 Hampton Ctr Ste a
Morgantown, WV 26505-1704
Mailing address
2000 Hampton Ctr Ste a
Morgantown, WV 26505-1704
Phone (304) 599-9558
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Sep 15, 2015 through Sep 15, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609915677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2000 HAMPTON CTR STE A",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051704",
"telephone_number": "304-599-9558",
"fax_number": "304-599-9559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 HAMPTON CTR STE A",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265051704",
"telephone_number": "304-599-9558",
"fax_number": "304-599-9559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOUL",
"first_name": "MENAKSHY",
"name_prefix": "Dr.",
"credential": "D.D.S., M.S.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0300X",
"taxonomy_group": "",
"desc": "Dentist, Periodontics",
"state": "WV",
"license": "3717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Morgantown, WV
Sources for this page
- 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.