Courtney Ellen Killough, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DDS104474 Issued in CA

Practice address

18455 Technology Dr
Morgan Hill, CA 95037-2822

Phone

(408) 778-4838

NPI assigned

May 16, 2018

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": "1526428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649462400000",
    "number": "1619467479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1953 DRY CREEK RD",
            "city": "CAMPBELL",
            "state": "CA",
            "postal_code": "950083629",
            "telephone_number": "757-320-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18455 TECHNOLOGY DR",
            "city": "MORGAN HILL",
            "state": "CA",
            "postal_code": "950372822",
            "telephone_number": "408-778-4838"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1930 S Bascom Ave Ste 120",
            "address_purpose": "LOCATION",
            "city": "Campbell",
            "state": "CA",
            "postal_code": "950082364",
            "country_code": "US",
            "telephone_number": "408-963-6120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILLOUGH",
        "first_name": "COURTNEY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-16",
        "last_updated": "2022-04-09",
        "certification_date": "2022-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401416034",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "DDS104474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Courtney Kent
• Robert Paul Kessler, D.C.
• Mazhar Ali Khan, MD
• Hiral Khatri, OTD, OTR/L
• Ghazaleh Khodaparast
• Hayoung Kim
• Lori Kishimura
• Jimmie Sue Knight, RN, PHN, IBCLC
• Latasha Walters Koszewnik, DPM
• Zepure Kouyoumdjian, D.O.

• General Practice Dentistry in Morgan Hill, CA
• Providers in Morgan Hill, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.