Miriam Koshy, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN15870 Issued in FL

Practice address

11653 N Williams St
Dunnellon, FL 34432-5890

Phone

(352) 489-8433

Fax

(352) 489-8477

NPI assigned

Oct 3, 2006

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Dunnellon Center for Complete Dentistry PA

  • Dental Clinic/Center
  • Dunnellon, FL
  • NPI 1932781903
  NPD Authorized official
• Perkins Dentistry, Inc

  • General Practice Dentistry
  • Dunnellon, FL
  • NPI 1578798427
  NPD (past)

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1063506285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11653 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-489-8433",
            "fax_number": "352-489-8477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11653 N WILLIAMS ST",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-489-8433",
            "fax_number": "352-489-8477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHY",
        "first_name": "MIRIAM",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN15870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kashiben Say LLC
• Kenduck Izquierdo Support Services, Inc
• Brenda M Kenduck
• Kidney Care of Dunnellon LLC
• Trisha Kimball
• Alison Faye Koskos
• Amanda Jill Kozinko
• Samantha Nicole Kreisle, ARNP
• L.a. Oliverio,MD Enterprises, Inc.
• Amanda Lange

• General Practice Dentistry in Dunnellon, FL
• Providers in Dunnellon, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; 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.