David P. Koehn, D.D.S.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

48932 Issued in CA

Practice address

1158 Suncast LN
El Dorado Hills, CA 95762-9326

Phone

(916) 941-9888

Fax

(916) 358-5638

NPI assigned

Feb 27, 2007

Last updated

Jan 23, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Sep 23, 2013 through Sep 23, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David Koehn D. D. S. Inc.

  dba El Dorado Endodontics

  • Endodontics
  • El Dorado Hills, CA
  • NPI 1558548495
  NPD (past) Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201046400000",
    "number": "1033246434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 SUNCAST LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629326",
            "telephone_number": "916-941-9888",
            "fax_number": "916-358-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 SUNCAST LN",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629326",
            "telephone_number": "916-941-9888",
            "fax_number": "916-358-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "DAVID",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2008-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Kinsey
• Melody Ann Kirkham, LMFT
• Abigail Marre Kline
• Sarah Knight
• Vicente Paul Knight, D.M.D.
• Maria B Koehn, LMFT
• Kasha Koeslag, PSYD
• Chelsea Leigh Kolarik, COTA/L
• Katerina Kononovich
• Patrick Kortebein, MD

• Endodontics in El Dorado Hills, CA
• Providers in El Dorado Hills, CA by specialty
• Endodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.