Jeffrey Neal Kockritz, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7426 Issued in WA

Practice address

1215 SW Scotton Way
Suite 121
Battle Ground, WA 98604-9860

Phone

(360) 687-4721

Fax

(360) 342-8909

NPI assigned

Oct 10, 2006

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 and National Provider Directory roles.

• Truscinski & Kockritz DDS

  • General Practice Dentistry
  • Battle Ground, WA
  • NPI 1083747729
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1689762437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2312 W MAIN ST",
            "address_2": "SUITE 121",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044234",
            "telephone_number": "360-687-4721",
            "fax_number": "360-666-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 SW SCOTTON WAY",
            "address_2": "SUITE 121",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986049860",
            "telephone_number": "360-687-4721",
            "fax_number": "360-342-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCKRITZ",
        "first_name": "JEFFREY",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "7426",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "7426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Elizabeth King, RN
• Tina King
• Brian James Kitzerow, DPT
• Sandra Knapp
• Valentin Kochenkov
• Carolyn N Kohlenberger, LPC, LMHC
• Sarah Natanya Kohlenberger, LMHC
• John Henrik Koski, DMD
• Elizabeth Waddington Lagerson, DO
• Janine Lamberg, NTP

• General Practice Dentistry in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.