Karen Elizabeth Koehler, DDS MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

DN16375 Issued in FL

Practice address

9776 San Jose Blvd
Ste 2
Jacksonville, FL 32257-4400

Phone

(904) 268-3052

Fax

(904) 880-0946

NPI assigned

Aug 22, 2006

Last updated

Feb 13, 2013By the provider in NPPES

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1360713600000",
    "number": "1376659250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574400",
            "telephone_number": "904-268-3052",
            "fax_number": "904-880-0946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9776 SAN JOSE BLVD",
            "address_2": "STE 2",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322574400",
            "telephone_number": "904-268-3052",
            "fax_number": "904-880-0946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "KAREN",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-22",
        "last_updated": "2013-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN16375",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shivani Kochhar, MD
• Matthew Paul Kochuba, M.D.
• Madison Kocse, CCC-SLP
• Alina Michelle Kodatt
• David C Koehler, MD
• Shirley M Koehler, PH.D.
• Susan Koehler, MD
• Crystal Chadderton Koenig, M.ED.
• Dayna Margaret Demarco Koenig, APRN
• Adam David Koenigsberg, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2013; 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.