Geoffrey Cornell Koelling, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D05019 Issued in AZ

Practice address

2102 N Country Club Rd
Suite a
Tucson, AZ 85716-2831

Phone

(520) 323-1400

NPI assigned

Nov 15, 2006

Last updated

Aug 7, 2019By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• General Dentistry 4 Kids-Kolb PLLC

  dba General Dentistry 4 Kids

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1629226857
  NPD (past)
• General Dentistry 4 Kids-Tucson, PLLC

  dba General Dentistry 4 Kids

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1790907004
  NPD (past)
• General Dentistry 4 Kids-Valencia PLLC

  dba General Dentistry 4 Kids

  • General Practice Dentistry
  • Tucson, AZ
  • NPI 1699986356
  NPD (past)
• General Dentistry for Kids-Greenway PLLC

  dba General Dentistry 4 Kids

  • Dentist
  • Phoenix, AZ
  • NPI 1316111057
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565136000000",
    "number": "1689746232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7170 W CAMINO SAN XAVIER STE C109",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853080862",
            "telephone_number": "623-282-9959",
            "fax_number": "602-429-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2102 N COUNTRY CLUB RD",
            "address_2": "SUITE A",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162831",
            "telephone_number": "520-323-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "GEOFFREY",
        "middle_name": "CORNELL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2019-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "09846",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "D05019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Kochhar
• Christina Diann Kocurek, LMSW
• Chamodi Ruwandika Kodippilikanda Vithanage, MD
• Theresa Kodua, BS, PHARMD
• Carol Lee Koehler, MS
• Le Roy M Koenig, ANP-C, GNP
• Tynisha Marie Koenigsaecker, MD
• Billi Jo Koepke, RNFA, FNP-C
• Adam Charles Koetter
• Nita Kofchock

• General Practice Dentistry in Tucson, AZ
• Providers in Tucson, AZ by specialty
• General Practice Dentistry in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2019; 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.