Comprehensive Dental Care of Alabama PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D4938 Issued in AL

Legal business name

COMPREHENSIVE DENTAL CARE OF ALABAMA PC

Doing business as

Koch Aesthetic Dentistry

Practice address

2311 Highland Ave S
Suite 323
Birmingham, AL 35205-2972

Phone

(205) 623-1394

Fax

(205) 933-0367

NPI assigned

Aug 31, 2016

Last updated

Aug 31, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John Paul Koch IV, DMDNPI 1689757718

Title

Owner

Phone

(205) 623-1394

Specialties & licenses 1

Addresses

Other names 1

• KOCH AESTHETIC DENTISTRY Doing business as

Locations

Practitioners 1

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.

• John Paul Koch, DMD

  • Dentist
  • Birmingham, AL
  • NPI 1689757718
  NPD (past) Authorized official

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1558817478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HIGHLAND AVE S",
            "address_2": "SUITE 323",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052972",
            "telephone_number": "205-623-1394",
            "fax_number": "205-933-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HIGHLAND AVE S",
            "address_2": "SUITE 323",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052972",
            "telephone_number": "205-623-1394",
            "fax_number": "205-933-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE DENTAL CARE OF ALABAMA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-623-1394",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AL",
            "license": "D4938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KOCH AESTHETIC DENTISTRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Complete Vitality LLC (MedSpine)
• Comprehensive Breast Health LLC
• Comprehensive Medical Eye Ophthalmic Care
• Emily Autumn Compton, MD
• Rhonda Bigbee Conaway, PHARMD
• Concentra Health Services, Inc.
• Concentra Health Services, Inc.

• General Practice Dentistry in Birmingham, AL
• Providers in Birmingham, AL by specialty
• General Practice Dentistry in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.