Thomas K. Courtney, DDS, Ubo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

11939 Issued in MO

Legal business name

THOMAS K. COURTNEY, DDS, UBO

Doing business as

Thomas K. Courtney, DDS

Practice address

302 Park Ave
Stewartsville, MO 64490-7122

Phone

(816) 669-3611

Fax

(816) 669-3253

NPI assigned

Nov 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Thomas K Courtney, D.D.S.NPI 1487765244

Title

Directing Manager

Phone

(816) 669-3611

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Thomas K. Courtney, DDS Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas Keith Courtney, D.D.S.

  • General Practice Dentistry
  • Stewartsville, MO
  • NPI 1487765244
  NPD (past) Authorized official

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1740352707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "644907122",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 PARK AVE",
            "city": "STEWARTSVILLE",
            "state": "MO",
            "postal_code": "644907122",
            "telephone_number": "816-669-3611",
            "fax_number": "816-669-3253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS K. COURTNEY, DDS, UBO",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COURTNEY",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "DIRECTING MANAGER",
        "authorized_official_telephone_number": "816-669-3611",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "11939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSKC",
            "identifier": "05611021",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thomas K. Courtney, DDS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Christopher M Ostendorf DDS LLC
• Thomas Keith Courtney, D.D.S.
• James Louis Muller
• New Era Counseling Services LLP (New Era Counseling Services)
• Stewartsville School Consolidated County of de Kalb (Stewartsville C-2)

• General Practice Dentistry in Stewartsville, MO
• Providers in Stewartsville, MO by specialty
• General Practice Dentistry in Missouri

• 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.