Individual provider Active NPI

Merideth Koehn, D.D.S.

  • Dentist
  • Cincinnati, OH
National Provider Identifier
1043521990
Registry record updated May 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23213 Issued in OH
Practice address
635 W 7TH St
Suite 309
Cincinnati, OH 45203-1513
Phone
(513) 621-0248
Fax
(513) 621-0288
NPI assigned
Jun 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 23213 OH Primary

Addresses

Primary practice location

635 W 7TH St
Suite 309
Cincinnati, OH 45203-1513

Mailing address

635 W 7TH St
Suite 309
Cincinnati, OH 45203-1513
Phone (513) 621-0248

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
23213OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306281600000",
    "number": "1043521990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W 7TH ST",
            "address_2": "SUITE 309",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031513",
            "telephone_number": "513-621-0248",
            "fax_number": "513-621-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W 7TH ST",
            "address_2": "SUITE 309",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452031513",
            "telephone_number": "513-621-0248",
            "fax_number": "513-621-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHN",
        "first_name": "MERIDETH",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-25",
        "last_updated": "2011-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "23213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2011; 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.