Active NPI
Iris V. Korus, DDS
- General Practice Dentistry
- Alpine, TX
National Provider Identifier
1992783070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 11995
- Practice address
- 2007 W. Hamlin Ave.
Alpine, TX 79830 - Phone
- (432) 837-5860
- Fax
- (432) 837-5890
- NPI assigned
- Jan 9, 2006
- Last updated
- Sep 24, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 11995 | TX | Primary |
Addresses
Primary practice location
2007 W. Hamlin Ave.
Alpine, TX 79830
Mailing address
PO Box 1956
Alpine, TX 79831
Phone (432) 837-5860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 090943402 | Medicaid | TX |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11995 | TX | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136764800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443052800000",
"number": "1992783070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1956",
"city": "ALPINE",
"state": "TX",
"postal_code": "79831",
"telephone_number": "432-837-5860",
"fax_number": "432-837-5890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 W. HAMLIN AVE.",
"city": "ALPINE",
"state": "TX",
"postal_code": "79830",
"telephone_number": "432-837-5860",
"fax_number": "432-837-5890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORUS",
"first_name": "IRIS",
"middle_name": "V.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-09",
"last_updated": "2015-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "11995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "090943402",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Alpine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.