Douglas W. Koenke, D.D.S.

Primary specialty

DentistTaxonomy code 122300000X

License

13000 Issued in MI

Legal business name

DOUGLAS W. KOENKE, D.D.S.

Practice address

42850 Schoenherr Rd
Suite 5
Sterling Heights, MI 48313-2875

Phone

(586) 566-0088

Fax

(586) 566-0568

NPI assigned

Apr 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Douglas William Koenke, D.D.S.NPI 1942288865

Title

Owner

Phone

(586) 566-0088

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas William Koenke, D.D.S.

  • General Practice Dentistry
  • Sterling Heights, MI
  • NPI 1942288865
  NPD (past) Authorized official

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193184000000",
    "number": "1013136241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42850 SCHOENHERR RD",
            "address_2": "SUITE 5",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132875",
            "telephone_number": "586-566-0088",
            "fax_number": "586-566-0568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42850 SCHOENHERR RD",
            "address_2": "SUITE 5",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483132875",
            "telephone_number": "586-566-0088",
            "fax_number": "586-566-0568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS W. KOENKE, D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-10-24",
        "status": "A",
        "authorized_official_last_name": "KOENKE",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "586-566-0088",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MI",
            "license": "13000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Dorchak
• Shantique Dortch
• Apurva N Doshi, BS PHARMACY
• Shelley Doshi
• Douglas J Kardynal PC
• Jessica Dowda, MD
• Caitlyn Downer
• Katherine Doyle, D.O.
• Victoria Grace Doyle
• Imani Dozier

• Dentist in Sterling Heights, MI
• Providers in Sterling Heights, MI by specialty
• Dentist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2007; 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.