Christopher John Koechner, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

2019007234 Issued in MO

Practice address

1373 YMCA Dr
Festus, MO 63028-2617

Phone

(636) 937-6565

Fax

(636) 642-0696

NPI assigned

May 14, 2018

Last updated

Dec 19, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Christopher Koechner DMD

  dba Festus Smile Center

  • Dental Clinic/Center
  • Festus, MO
  • NPI 1114707189
  NPD Authorized official

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

{
    "created_epoch": "1526256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608336000000",
    "number": "1689164816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5120 ROMAINE SPRING DR",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630265865",
            "telephone_number": "618-364-2411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 YMCA DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630282617",
            "telephone_number": "636-937-6565",
            "fax_number": "636-642-0696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOECHNER",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-14",
        "last_updated": "2020-12-19",
        "certification_date": "2020-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10147",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "2019007234",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marshall Kirsch, DO
• Rachel Noel Klasek, RDH
• Klinginsmith Chiropractic Office
• Charles Eugene Klinginsmith, D.C.
• Andrew Kocher, PT
• Brian Koenen
• Paul Kohler, MSOT
• Leigh A Kokenis, LCSW
• Charu Kolekar, M.D.
• Morgan E Korder, RNCPNP

• General Practice Dentistry in Festus, MO
• Providers in Festus, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.