Active NPI
Anna Danielle Koon, DDS
- General Practice Dentistry
- Warsaw, IN
National Provider Identifier
1609786763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 12015121A
- Practice address
- 901 Anchorage Point Dr
Warsaw, IN 46580-2282 - Phone
- (800) 342-5653
- NPI assigned
- Sep 10, 2026
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 12015121A | IN | Primary |
Addresses
Primary practice location
901 Anchorage Point Dr
Warsaw, IN 46580-2282
Mailing address
13822 Liberty Mills Rd
Fort Wayne, IN 46814-9433
Other practice location 1
2860 Northpark Ave
Huntington, IN 46750-9700
Phone (800) 342-5653
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788998400000",
"number": "1609786763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13822 LIBERTY MILLS RD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468149433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 ANCHORAGE POINT DR",
"city": "WARSAW",
"state": "IN",
"postal_code": "465802282",
"telephone_number": "800-342-5653"
}
],
"practiceLocations": [
{
"address_1": "2860 Northpark Ave",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "IN",
"postal_code": "467509700",
"country_code": "US",
"telephone_number": "800-342-5653",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOON",
"first_name": "ANNA",
"middle_name": "DANIELLE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-10",
"last_updated": "2026-09-10",
"certification_date": "2026-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IN",
"license": "12015121A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warsaw, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.