Individual provider Active NPI

Christine Koval, D.M.D.

  • Dentist
  • Sarasota, FL
National Provider Identifier
1174945448
Registry record updated Jan 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DN9651 Issued in FL
Practice address
2477 Stickney Point Rd
Suite 216a
Sarasota, FL 34231-4076
Phone
(941) 923-5406
Fax
(941) 923-0741
NPI assigned
Jan 6, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DN9651 FL Primary

Addresses

Primary practice location

2477 Stickney Point Rd
Suite 216a
Sarasota, FL 34231-4076

Mailing address

2477 Stickney Point Rd
Suite 216a
Sarasota, FL 34231
Phone (941) 923-5406

Other identifiers 1

IdentifierTypeStateIssuer
1316199425OtherFLNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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

Enrollment IDStateProvider typePAC IDDetails
I20150305001733 FL Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 9032435219

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Koval & Koval Dental Assoc, Inc. Dentist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388966400000",
    "number": "1174945448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 216A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "34231",
            "telephone_number": "941-923-5406",
            "fax_number": "941-923-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2477 STICKNEY POINT RD",
            "address_2": "SUITE 216A",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342314076",
            "telephone_number": "941-923-5406",
            "fax_number": "941-923-0741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVAL",
        "first_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-06",
        "last_updated": "2014-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN9651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316199425",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.