Individual provider Active NPI

Natalie Spring Koontz

  • Dentist
  • Oklahoma City, OK
National Provider Identifier
1669636247
Registry record updated Jul 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
6066 Issued in OK
Practice address
9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801
Phone
(405) 286-9024
Fax
(405) 286-9088
NPI assigned
Jul 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6066 OK Primary

Addresses

Primary practice location

9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801

Mailing address

9405 N Pennsylvania PL
Oklahoma City, OK 73120-3801
Phone (405) 286-9024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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

Enrollment IDStateProvider typePAC IDDetails
I20150623001603 OK Order and Referring Only - DentistPractitioner - Dentist 4880905421

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215993600000",
    "number": "1669636247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-286-9024",
            "fax_number": "405-286-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9405 N PENNSYLVANIA PL",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731203801",
            "telephone_number": "405-286-9024",
            "fax_number": "405-286-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOONTZ",
        "first_name": "NATALIE",
        "middle_name": "SPRING",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2008-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.