Individual provider Active NPI

Joseph Terry Kourey, DDS

  • General Practice Dentistry
  • Beckley, WV
National Provider Identifier
1720140247
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
WV2528 Issued in WV
Practice address
1100 Neville St
Beckley, WV 25801-4228
Phone
(304) 253-8854
Fax
(304) 252-5202
NPI assigned
Dec 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X WV2528 WV Primary

Addresses

Primary practice location

1100 Neville St
Beckley, WV 25801-4228

Mailing address

1100 Neville St
Beckley, WV 25801-4228
Phone (304) 253-8854

Other identifiers 1

IdentifierTypeStateIssuer
0136474000MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
WV2528WVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen W Finch DDS PC General Practice Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720140247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 NEVILLE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014228",
            "telephone_number": "304-253-8854",
            "fax_number": "304-252-5202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 NEVILLE ST",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258014228",
            "telephone_number": "304-253-8854",
            "fax_number": "304-252-5202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOUREY",
        "first_name": "JOSEPH",
        "middle_name": "TERRY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "WV2528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0136474000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.