Organization Active NPI

David a. Koenig DDS, PA

  • General Practice Dentistry
  • Livingston, NJ
National Provider Identifier
1639250236
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DI12611 Issued in NJ
Legal business name
DAVID A. KOENIG DDS, PA
Practice address
2 W Northfield Rd
Suite 210B
Livingston, NJ 07039-3789
Phone
(973) 535-0800
Fax
(973) 535-8783
NPI assigned
Oct 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. David A Koenig, DDSNPI 1295805158
Title
Dentist
Phone
(973) 535-0800

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
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X DI12611 NJ Primary

Addresses

Primary practice location

2 W Northfield Rd
Suite 210B
Livingston, NJ 07039-3789

Mailing address

2 W Northfield Rd
Suite 210B
Livingston, NJ 07039-3789
Phone (973) 535-0800

National Provider Directory

National Provider Directory

Locations

2 W Northfield Rd
Ste 210B
Livingston, NJ 07039
Phone (973) 535-0800

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639250236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 210B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-535-0800",
            "fax_number": "973-535-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W NORTHFIELD RD",
            "address_2": "SUITE 210B",
            "city": "LIVINGSTON",
            "state": "NJ",
            "postal_code": "070393789",
            "telephone_number": "973-535-0800",
            "fax_number": "973-535-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID A. KOENIG DDS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOENIG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "973-535-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NJ",
            "license": "DI12611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livingston, NJ

Sources for this page

  • 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.