Individual provider Active NPI

Dana Fein Koch, AU.D.

  • Audiologist
  • High Point, NC
National Provider Identifier
1245417518
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
10683 Issued in NC
Practice address
1008 Hutton LN Ste 107
High Point, NC 27262-7245
Phone
(336) 884-5929
Fax
(336) 858-8780
NPI assigned
Jan 29, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 10683 NC Primary

Addresses

Primary practice location

1008 Hutton LN Ste 107
High Point, NC 27262-7245

Mailing address

1008 Hutton LN Ste 107
High Point, NC 27262-7245
Phone (336) 884-5929

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110415000301 NC Practitioner - Qualified Audiologist 5597824474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Novakovich Enterprises, Inc Audiologist CurrentSince May 31, 2015 Accepting new patients
Chesapeake Ear, Nose & Throat Associates, P.C. Past Accepting new patients

Locations

1008 Hutton Ln
Ste 107
High Point, NC 27262
Phone (336) 884-5929

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": "1201564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1245417518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 HUTTON LN STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627245",
            "telephone_number": "336-884-5929",
            "fax_number": "336-858-8780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 HUTTON LN STE 107",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627245",
            "telephone_number": "336-884-5929",
            "fax_number": "336-858-8780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "DANA",
        "middle_name": "FEIN",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-29",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "10683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.