Erik Karl Koskinen, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

016.0075831 Issued in VT

Practice address

9 Court St
Middlebury, VT 05753-1470

Phone

(802) 388-6404

NPI assigned

Mar 22, 2010

Sex

Male

Sole proprietor

Yes

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

Enrolled in VT

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Middtown Dental PC

  • General Practice Dentistry
  • Middlebury, VT
  • NPI 1487461406
  NPD Authorized official

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

{
    "created_epoch": "1269216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1134443047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 COURT ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531470",
            "telephone_number": "802-388-6404",
            "fax_number": "802-398-2053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 COURT ST",
            "city": "MIDDLEBURY",
            "state": "VT",
            "postal_code": "057531470",
            "telephone_number": "802-388-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKINEN",
        "first_name": "ERIK",
        "middle_name": "KARL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-03-22",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VT",
            "license": "016.0075831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dayle Klitzner, MD
• Jonathan Marcial Klock
• Fred W Kniffin, MD
• Geoffrey R Knisely, MD
• Stephen M Koller, MD
• KPH Healthcare Services, Inc. (Kinney Drugs #38)
• Jayson Kryla
• Rajeev Shiva Kumar, MD
• Bartley L Larrow Jr., D.M.D.
• Bartley L Larrow Sr., D.D.S.

• General Practice Dentistry in Middlebury, VT
• Providers in Middlebury, VT by specialty
• General Practice Dentistry in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.