David A Koenig, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DI12611 Issued in NJ

Practice address

2 W Northfield Rd
Suite 210B
Livingston, NJ 07039-3789

Phone

(973) 535-0800

Fax

(973) 535-8783

NPI assigned

Nov 8, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

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.

Opted out of Medicare

Yes, effective Sep 27, 2015 through Sep 27, 2027

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• David a. Koenig DDS, PA

  • General Practice Dentistry
  • Livingston, NJ
  • NPI 1639250236
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295805158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 210B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-535-0800",
            "fax_number": "973-535-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 210B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-535-0800",
            "fax_number": "973-535-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "DAVID",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI12611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Martha Kleinberg, PHD
• Jessica Kleinman, M.S., CCC-SLP
• So Hun Ko, MD
• Robert K Koch, M.D.
• Marietta Jean Kocher
• Eileen A Kohutis, PH. D.
• Marjut Kokkola-Korpela, M.D.
• Erica Kokoszka
• Lydia Elizabeth Kondratowicz, PHARM D
• Konsu Health LLC

• General Practice Dentistry in Livingston, NJ
• Providers in Livingston, NJ by specialty
• General Practice Dentistry in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.