Active NPI
Douglas Richard Koch, DDS
- General Practice Dentistry
- Denver, CO
National Provider Identifier
1104148519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 10116
- Practice address
- 10101 E Hampden Ave Ste 100
Denver, CO 80231-4905 - Phone
- (303) 671-0101
- Fax
- (303) 671-9603
- NPI assigned
- Feb 26, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 10116 | CO | Primary |
Addresses
Primary practice location
10101 E Hampden Ave Ste 100
Denver, CO 80231-4905
Mailing address
10101 E Hampden Ave Ste 100
Denver, CO 80231-4905
Phone (303) 671-0101
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10116 | Other | CO | COLORADO STATE DENTAL BOARD |
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 |
|---|---|---|---|
| 10116 | CO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1267142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267142400000",
"number": "1104148519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 E HAMPDEN AVE STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802314905",
"telephone_number": "303-671-0101",
"fax_number": "303-671-9603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10101 E HAMPDEN AVE STE 100",
"city": "DENVER",
"state": "CO",
"postal_code": "802314905",
"telephone_number": "303-671-0101",
"fax_number": "303-671-9603"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "DOUGLAS",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-26",
"last_updated": "2010-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "10116",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COLORADO STATE DENTAL BOARD",
"identifier": "10116",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.