Individual provider Active NPI

Courtney Allyson Kastens, D.D.S.

  • General Practice Dentistry
  • Spring, TX
National Provider Identifier
1982043204
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
34796 Issued in TX
Practice address
22777 Springwoods Village Pkwy # N2
Spring, TX 77389-1425
Phone
(281) 227-6453
NPI assigned
Jun 19, 2013
Last updated
Feb 22, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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 34796 TX Primary

Addresses

Primary practice location

22777 Springwoods Village Pkwy # N2
Spring, TX 77389-1425

Mailing address

1515 Candlelight LN
Houston, TX 77018-1821
Phone (720) 840-9026

Other identifiers 1

IdentifierTypeStateIssuer
69815551MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160302001759 CO Order and Referring Only - DentistPractitioner - Dentist 9931405842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1982043204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 CANDLELIGHT LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770181821",
            "telephone_number": "720-840-9026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22777 SPRINGWOODS VILLAGE PKWY # N2",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773891425",
            "telephone_number": "281-227-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTENS",
        "first_name": "COURTNEY",
        "middle_name": "ALLYSON",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "34796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69815551",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.