Active NPI
Laura Colman Koch, D.M.D.
- Dentist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN010803
- Practice address
- 1401 Peachtree St NE Ste 100
Atlanta, GA 30309-3005 - Phone
- (404) 249-1716
- Fax
- (404) 249-1716
- NPI assigned
- Oct 10, 2006
- 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN010803 | GA | Primary |
Addresses
Primary practice location
1401 Peachtree St NE Ste 100
Atlanta, GA 30309-3005
Mailing address
1401 Peachtree St NE Ste 100
Atlanta, GA 30309-3005
Phone (404) 249-1716
Other practice location 1
1299 Russell Pkwy
Warner Robins, GA 31088-5582
Phone (478) 923-6449
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
| License | State | Type | Specialty |
|---|---|---|---|
| DN010803 | GA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dentistry for Midtown, LLC | Dentist | Current | Accepting new patients |
| Dentistry of Norcross LLC | General Practice | Current | Accepting new patients |
| Dentistry for Warner Robins, P.C. | Dentist | Past | Accepting new patients |
| Koch & Crossley LLC | Dentist | Past | Accepting new patients |
| David H. Doggett Bordeaux DDS LLC | Dentist | Past | Accepting new patients |
Locations
1401 Peachtree St NE
Ste 100
Atlanta, GA 30309
Phone (404) 249-1716
855 Juniper St NE
Atlanta, GA 30308
Phone (404) 249-1716
6063 Peachtree Pkwy
Ste 201B
Norcross, GA 30092
Phone (404) 934-2294
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Practice Dentistry
- Atlanta, GA
- NPI 1730591603
-
- General Practice Dentistry
- Norcross, GA
- NPI 1659071140
-
- Dentist
- Warner Robins, GA
- NPI 1336570837
-
- Dentist
- Atlanta, GA
- NPI 1134308216
-
- Dentist
- Warner Robins, GA
- NPI 1205288099
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1063500635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 PEACHTREE ST NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093005",
"telephone_number": "404-249-1716",
"fax_number": "404-249-1716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 PEACHTREE ST NE STE 100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303093005",
"telephone_number": "404-249-1716",
"fax_number": "404-249-1716"
}
],
"practiceLocations": [
{
"address_1": "1299 Russell Pkwy",
"address_purpose": "LOCATION",
"city": "Warner Robins",
"state": "GA",
"postal_code": "310885582",
"country_code": "US",
"telephone_number": "478-923-6449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCH",
"first_name": "LAURA",
"middle_name": "COLMAN",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN010803",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.