Michael G. Koerner, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0401004780 Issued in VA

Practice address

121 Winchester St
Warrenton, VA 20186-2816

Phone

(540) 347-1110

Fax

(540) 347-3222

NPI assigned

May 24, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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 VA

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679784706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 WINCHESTER ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862816",
            "telephone_number": "540-347-1110",
            "fax_number": "540-347-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 WINCHESTER ST",
            "city": "WARRENTON",
            "state": "VA",
            "postal_code": "201862816",
            "telephone_number": "540-347-1110",
            "fax_number": "540-347-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERNER",
        "first_name": "MICHAEL",
        "middle_name": "G.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "VA",
            "license": "0401004780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Kim, LCSW
• Danielle Alyse King, PA-C
• Michael J Klemann, D.D.S.
• Daniel W Kneip, LCSW
• Margaret Marie Kober, R.PH., M.P.A.
• Anupama T Kommu, PSYD
• Chandrasekhar Kommu, M.D.
• Michael C Kramm, MS, CTP, CGP
• Joseph Lee Krofcheck, M.D.
• Benjamin Kwak, OD

• General Practice Dentistry in Warrenton, VA
• Providers in Warrenton, VA by specialty
• General Practice Dentistry in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.