Ted B Koester DMD PC

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

TED B KOESTER DMD PC

Practice address

111 South First Street
Effingham, IL 62401

Phone

(217) 342-4494

Fax

(217) 347-5344

NPI assigned

Nov 8, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ted Koester, DMDNPI 1912099573

Title

DMD

Phone

(217) 342-4494

Specialties & licenses 1

Addresses

Other names 1

• Corporation Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ted Koester, DMD

  • Dentist
  • Effingham, IL
  • NPI 1912099573
  NPD (past) Authorized official

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1578633665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 SOUTH FIRST STREET",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-4494",
            "fax_number": "217-347-5344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 SOUTH FIRST STREET",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-4494",
            "fax_number": "217-347-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TED B KOESTER DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOESTER",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "DMD",
        "authorized_official_telephone_number": "217-342-4494",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Corporation",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Courtney Taylor, PTA
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• The Thomas Shop

• Dentist in Effingham, IL
• Providers in Effingham, IL by specialty
• Dentist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.