Organization Active NPI

Lauren E Koch DDS PC

Doing business as Avondale Dental Studio

  • Dentist
  • Chicago, IL
National Provider Identifier
1225861818
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
LAUREN E KOCH DDS PC
Doing business as
Avondale Dental Studio
Practice address
2896 N Milwaukee Ave
Chicago, IL 60618-7413
Phone
(773) 295-6439
Fax
(773) 295-6690
NPI assigned
Aug 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Lauren Emily Koch Macdonald, DDSNPI 1245643063
Title
Owner
Phone
(517) 673-1967

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

2896 N Milwaukee Ave
Chicago, IL 60618-7413

Mailing address

2450 N Avers Ave
Chicago, IL 60647-2224
Phone (517) 673-1967

Other names 1

  • Avondale Dental Studio Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1225861818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 N AVERS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606472224",
            "telephone_number": "517-673-1967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2896 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187413",
            "telephone_number": "773-295-6439",
            "fax_number": "773-295-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAUREN E KOCH DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-21",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "KOCH MACDONALD",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "EMILY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-673-1967",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Avondale Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Avondale Dental Studio",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.