Individual provider Active NPI

Sarah Emily Koury, DMD

  • Pediatric Dentistry
  • Mechanicsburg, PA
National Provider Identifier
1902543101
Registry record updated Nov 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DS045077 Issued in PA
Practice address
4836 E Trindle Rd
Mechanicsburg, PA 17050-3635
Phone
(717) 737-5834
Fax
(717) 737-2158
NPI assigned
May 18, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DS045077 PA Primary

Addresses

Primary practice location

4836 E Trindle Rd
Mechanicsburg, PA 17050-3635

Mailing address

4836 E Trindle Rd
Mechanicsburg, PA 17050-3635
Phone (717) 737-5834

Other practice location 1

4509 Union Deposit Rd
Harrisburg, PA 17111-2911
Phone (717) 558-9830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241003000094 VA Practitioner - Dentist 8527599448 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS045077PAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Bon Secours St Mary's Hospital of Richmond LLC Pediatric Dentistry CurrentSince Jul 29, 2024 Accepting new patients
Bon Secours St Marys Hospital of Richmond LLC CurrentSince Jul 29, 2024 Accepting new patients
Bon Secours St. Mary's Hospital of Richmond LLC Current Accepting new patients
Kearns & Ashby DDS PC Pediatric Dentistry PastSince Oct 12, 2025 Accepting new patients

Locations

6900 Forest Ave
Ste 110
Richmond, VA 23230
Phone (804) 893-8692

5855 Bremo Rd
Ste 306
Richmond, VA 23226
Phone (804) 287-7644

Interoperability endpoints

  • Direct secure messaging: skoury1282989@direct.bsmhealth.org

Organizations & group practices 4

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": "1652832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762214400000",
    "number": "1902543101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503635",
            "telephone_number": "717-737-5834",
            "fax_number": "717-737-2158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4836 E TRINDLE RD",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170503635",
            "telephone_number": "717-737-5834",
            "fax_number": "717-737-2158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4509 Union Deposit Rd",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171112911",
            "country_code": "US",
            "telephone_number": "717-558-9830",
            "fax_number": "717-558-9844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOURY",
        "first_name": "SARAH",
        "middle_name": "EMILY",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-18",
        "last_updated": "2025-11-04",
        "certification_date": "2025-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "PA",
            "license": "DS045077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mechanicsburg, PA

Sources for this page

Verify at the official NPI Registry.