Individual provider Active NPI

Lona Maria Kouri, DDS

  • General Practice Dentistry
  • Perry, IA
National Provider Identifier
1902810138
Registry record updated Dec 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08360 Issued in IA
Practice address
2423 Willis Ave
Perry, IA 50220-2150
Phone
(515) 276-8572
Fax
(515) 334-7274
NPI assigned
Jul 27, 2006
Last updated
Dec 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2019

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 08360 IA Primary

Addresses

Primary practice location

2423 Willis Ave
Perry, IA 50220-2150

Mailing address

15915 Monroe CT
Urbandale, IA 50323-1639
Phone (515) 991-6291

Other identifiers 1

IdentifierTypeStateIssuer
22249OtherIABCBS

Other names 1

  • Lona Maria Scott Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address swansonfamilydental@hotmail.com Direct

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
08360IAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577664000000",
    "number": "1902810138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15915 MONROE CT",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503231639",
            "telephone_number": "515-991-6291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2423 WILLIS AVE",
            "city": "PERRY",
            "state": "IA",
            "postal_code": "502202150",
            "telephone_number": "515-276-8572",
            "fax_number": "515-334-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOURI",
        "first_name": "LONA",
        "middle_name": "MARIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2019-12-30",
        "certification_date": "2019-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "22249",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swansonfamilydental@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "Office email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2423 Willis Ave",
            "city": "Perry",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502202150",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "LONA",
            "last_name": "SCOTT",
            "middle_name": "MARIA",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Perry, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; 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.