NPIMap

Organization Active NPI

David Koehn D. D. S. Inc.

Doing business as El Dorado Endodontics

  • Endodontics
  • El Dorado Hills, CA
National Provider Identifier
1558548495
Registry record updated Jan 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
48932 Issued in CA
Legal business name
DAVID KOEHN D. D. S. INC.
Doing business as
El Dorado Endodontics
Practice address
1158 Suncast LN
Ste #1
El Dorado Hills, CA 95762-9326
Phone
(916) 941-9888
Fax
(916) 358-5638
NPI assigned
Jan 23, 2008
Last updated
Jan 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2008

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

Authorized official

Name
Dr. David Koehn, DDSNPI 1033246434
Title
Owner
Phone
(916) 941-9888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 48932 CA Primary

Addresses

Primary practice location

1158 Suncast LN
Ste #1
El Dorado Hills, CA 95762-9326

Mailing address

1158 Suncast LN
Ste #1
El Dorado Hills, CA 95762-9326
Phone (916) 941-9888

Other names 1

  • El Dorado Endodontics Doing business as

National Provider Directory

National Provider Directory

Locations

1158 Suncast Ln
Ste 1
El Dorado Hills, CA 95762
Phone (916) 941-9888

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1558548495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1158 SUNCAST LN",
            "address_2": "STE #1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629326",
            "telephone_number": "916-941-9888",
            "fax_number": "916-358-5638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1158 SUNCAST LN",
            "address_2": "STE #1",
            "city": "EL DORADO HILLS",
            "state": "CA",
            "postal_code": "957629326",
            "telephone_number": "916-941-9888",
            "fax_number": "916-358-5638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID KOEHN D. D. S. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-23",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "KOEHN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "916-941-9888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": "48932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "El Dorado Endodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Dorado Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.