Individual provider Active NPI

John Paul Koch, DMD

  • Dentist
  • Birmingham, AL
National Provider Identifier
1689757718
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
4938 Issued in AL
Practice address
2311 Highland Ave S
Suite 323
Birmingham, AL 35205-2972
Phone
(205) 933-0323
Fax
(205) 933-0367
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 4938 AL Primary
Dentist 122300000X DN010802 GA

Addresses

Primary practice location

2311 Highland Ave S
Suite 323
Birmingham, AL 35205-2972

Mailing address

2311 Highland Ave S
Suite 323
Birmingham, AL 35205-2972
Phone (205) 933-0323

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
DN010802GAMDDentist
4938ALMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Dental Care of Alabama PC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1689757718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2311 HIGHLAND AVE S",
            "address_2": "SUITE 323",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052972",
            "telephone_number": "205-933-0323",
            "fax_number": "205-933-0367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 HIGHLAND AVE S",
            "address_2": "SUITE 323",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352052972",
            "telephone_number": "205-933-0323",
            "fax_number": "205-933-0367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "JOHN",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AL",
            "license": "4938",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN010802",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.