T Koen Orthodontics PLLC

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

4113 Issued in TN

Legal business name

T KOEN ORTHODONTICS PLLC

Practice address

131 Indian Lake Blvd
Suite 202
Hendersonville, TN 37075-6210

Phone

(615) 824-5636

Fax

(615) 824-5707

NPI assigned

May 17, 2007

Last updated

Aug 22, 2020By 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. Tommy J Koen, DMDNPI 1104881663

Title

Owner

Phone

(615) 824-5636

Specialties & licenses 1

Addresses

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.

• Tommy J Koen, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Hendersonville, TN
  • NPI 1104881663
  NPD (past) Authorized official

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639386501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "615-824-5636",
            "fax_number": "615-824-5707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 INDIAN LAKE BLVD",
            "address_2": "SUITE 202",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370756210",
            "telephone_number": "615-824-5636",
            "fax_number": "615-824-5707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T KOEN ORTHODONTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOEN",
        "authorized_official_first_name": "TOMMY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "615-824-5636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "TN",
            "license": "4113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rayna Elyse Swift, DDS
• Makiyah Swinger
• Cayla Jean Sybert-Morrison
• Lamahria Sydnor
• Darren Szwartz
• Tabor Dental Associates
• Kelly Tabor, FNP-C
• Mary Beth Tabor, DDS
• Michael Jayson Tabor, D.D.S.
• Dan Tagailo, DPT

• Orthodontics and Dentofacial Orthopedics Dentistry in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Tennessee

• 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.