Nicholas Koren, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

04332 Issued in NH

Practice address

1 Wayside Dr
Exeter, NH 03833-4821

Phone

(603) 772-4352

NPI assigned

Jun 16, 2015

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1366823320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WAYSIDE DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334821",
            "telephone_number": "603-772-4352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WAYSIDE DR",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038334821",
            "telephone_number": "603-772-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOREN",
        "first_name": "NICHOLAS",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "DN1856915",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NH",
            "license": "04332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kensington School District
• John Kepka, ATC
• Catherine Kingston, APRN
• Hannah Neo Kirby, MSW
• Mladen Kolovrat, PA
• Carol D Krasin, NP
• Joshua Michael Krasnow, MD
• Maria Kuehl, DO
• Andrew F Kunkemueller, MD
• Daniel Kunz, DO

• General Practice Dentistry in Exeter, NH
• Providers in Exeter, NH by specialty
• General Practice Dentistry in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; 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.