Cynthia Xiomara Koch

Primary specialty

DentistTaxonomy code 122300000X

License

0000 Issued in MA

Practice address

17 Arlington St
Portland, ME 04101-1601

Phone

(970) 393-0627

NPI assigned

Jun 9, 2025

Sex

Female

Sole proprietor

Yes

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

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dentist

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: cynthia.koch.p1@direct.portlandchc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Portland Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1609120856
  Medicare reassignment NPD
• Portland Community Health Center

  dba Greater Portland Health

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1982338240
  NPD
• Portland Community Health Center

  dba Portland Community Health Center- Health Care for the Homeless Program

  • Federally Qualified Health Center (FQHC)
  • Portland, ME
  • NPI 1013331495
  NPD (past)

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

{
    "created_epoch": "1749427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749427200000",
    "number": "1669367926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 ARLINGTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011601",
            "telephone_number": "970-393-0627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 ARLINGTON ST",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041011601",
            "telephone_number": "970-393-0627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "CYNTHIA",
        "middle_name": "XIOMARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-09",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MA",
            "license": "0000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Knox III, ATC
• Lauren Ko, MD
• Gabrielle Alyson Kobacker, FNP-C
• Catherine M Kobell, LCSW
• Anne L Koch, LCPC
• Leah Koch
• Amy Kogut, CNM
• Susan M Kohaut, PHD
• Alexa Kohl
• Adam Felix Kohutnicki, MD

• Dentist in Portland, ME
• Providers in Portland, ME by specialty
• Dentist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.