Kourtney Kouth, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

36441 Issued in TX

Practice address

3234 64TH St
Lubbock, TX 79413-5760

Phone

(806) 793-0651

NPI assigned

Jul 31, 2020

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Hill-Davis Dental Group

  • General Practice Dentistry
  • Lubbock, TX
  • NPI 1083949002
  NPD (past)

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

{
    "created_epoch": "1596153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1669081097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5713 79TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794242607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3234 64TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794135760",
            "telephone_number": "806-793-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUTH",
        "first_name": "KOURTNEY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-31",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "36441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kortney Gholson Counseling PLLC
• Stanley J. Kotara, PA
• Koteswaramma Narra, MD, PA
• Korey Dean Kothmann, D.C.
• Rajinder Koul, PHD
• Stephen P. Koutrelakos, LPC
• Taylor Jensen Kouts, OTR/L, OTD
• Lindsey N Kozlovsky
• Aaron Paul Krahl, PHARMD
• Jessie Krakosky, M.S., CCC-SLP

• Dentist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Dentist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.