Active NPI
Steven Francis Koos, RDH
- Dental Hygienist
- Casa Grande, AZ
National Provider Identifier
1427354398
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- H4840
- Practice address
- 865 N Arizola Rd
Casa Grande, AZ 85122-6011 - Phone
- (520) 836-3446
- Fax
- (520) 836-2305
- NPI assigned
- Feb 9, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | H4840 | AZ | Primary |
Addresses
Primary practice location
865 N Arizola Rd
Casa Grande, AZ 85122-6011
Mailing address
PO Box 10097
Casa Grande, AZ 85130-0020
Phone (520) 836-3446
Other practice location 1
6535 E Osborn Rd
Scottsdale, AZ 85251-6026
Phone (480) 312-0007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H4840 | AZ | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scottsdale Healthcare Hospitals | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Health Service Clinic/Center
- Scottsdale, AZ
- NPI 1750546032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1638403200000",
"number": "1427354398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10097",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851300020",
"telephone_number": "520-836-3446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 N ARIZOLA RD",
"city": "CASA GRANDE",
"state": "AZ",
"postal_code": "851226011",
"telephone_number": "520-836-3446",
"fax_number": "520-836-2305"
}
],
"practiceLocations": [
{
"address_1": "6535 E Osborn Rd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852516026",
"country_code": "US",
"telephone_number": "480-312-0007",
"fax_number": "480-949-0570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOOS",
"first_name": "STEVEN",
"middle_name": "FRANCIS",
"name_prefix": "Mr.",
"credential": "RDH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-09",
"last_updated": "2021-12-02",
"certification_date": "2021-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "AZ",
"license": "H4840",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Casa Grande, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.