Ryan T Koenig, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE00010648 Issued in WA

Practice address

27016 Maple Valley - Black Diamond Rd SE
Maple Valley, WA 98038

Phone

(425) 413-8525

Fax

(425) 413-8599

NPI assigned

Apr 9, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1239235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239235200000",
    "number": "1639312499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27016 MAPLE VALLEY - BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-8525",
            "fax_number": "425-413-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27016 MAPLE VALLEY - BLACK DIAMOND RD SE",
            "city": "MAPLE VALLEY",
            "state": "WA",
            "postal_code": "98038",
            "telephone_number": "425-413-8525",
            "fax_number": "425-413-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "RYAN",
        "middle_name": "T",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-04-09",
        "last_updated": "2009-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE00010648",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kirby Nelson Orthodontics
• Tiffani Kittilstved, M.S., CCC-SLP
• Emily Joleen Klibowitz, DPT
• Larry G. Knauss, PHD
• Melissa N Knott
• Paige Nicole Koler, SLP
• Amy D Konvalin, MPT
• Isha Debrea Kora
• Richard Wesley Koss, DO
• Emma Alice Kowalinski, MS, LMFT, MDFT

• General Practice Dentistry in Maple Valley, WA
• Providers in Maple Valley, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2009; 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.