Individual provider Active NPI

Anna Caroline Kosch, DDS

  • Dentist
  • Rochester, MN
National Provider Identifier
1235878109
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D14727 Issued in MN
Practice address
1011 Bel Air LN NW
Rochester, MN 55901-6992
Phone
(507) 288-1188
NPI assigned
May 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D14727 MN Primary

Addresses

Primary practice location

1011 Bel Air LN NW
Rochester, MN 55901-6992

Mailing address

5235 Middlebrook Dr NW
Rochester, MN 55901-5583
Phone (507) 319-9606

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20230417001443 MN Order and Referring Only - DentistPractitioner - Dentist 9739554171

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
D14727MNMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Dentist Tree, PA PastSince Apr 9, 2023 Accepting new patients
Byron Dental Group PA Dentist PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 2

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1235878109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5235 MIDDLEBROOK DR NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559015583",
            "telephone_number": "507-319-9606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 BEL AIR LN NW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559016992",
            "telephone_number": "507-288-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCH",
        "first_name": "ANNA",
        "middle_name": "CAROLINE",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D14727",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.