Brittany Koncz, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

101557 Issued in CA

Practice address

9737 Aero Dr Ste 210
San Diego, CA 92123

Phone

(858) 336-8478

NPI assigned

May 20, 2010

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Hoss/Keri KM Dental Group, a Professional Corporation

  • Pediatric Dentistry
  • San Diego, CA
  • NPI 1235655788
  NPD (past)
• Keri KM Dental Group, a Professional Group

  dba The Superdentists

  • Dental Clinic/Center
  • San Diego, CA
  • NPI 1932553633
  NPD (past)

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

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1144549833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2382 CAROL VIEW DR APT F301",
            "city": "CARDIFF BY THE SEA",
            "state": "CA",
            "postal_code": "920072049",
            "telephone_number": "610-217-4026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9737 AERO DR STE 210",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "858-336-8478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KONCZ",
        "first_name": "BRITTANY",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "101557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Kominami, LAC
• Sabina Sudeepthi Kommu
• Sarah Lynne Komnick
• Arkady Komsoukaniants
• Courtney Leah Konchan, DO
• Caroline Kong
• Sophia Sing Kui Kong, PMHNP-BC
• John Thomas Konieczny III, RN, BSN, CEN
• Matilde A Konigsberg, LMFT
• Jeffrey Lawrence Koning, M.D.

• Orthodontics and Dentofacial Orthopedics Dentistry in San Diego, CA
• Providers in San Diego, CA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.