Active NPI
Douglas Hein Koele, DDS
- Dentist
- Reinbeck, IA
National Provider Identifier
1700896859
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 06330
- Practice address
- 501 Main St Ste 2
Reinbeck, IA 50669 - Phone
- (319) 345-6667
- Fax
- (319) 345-2449
- NPI assigned
- Aug 9, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 06330 | IA | Primary |
Addresses
Primary practice location
501 Main St Ste 2
Reinbeck, IA 50669
Mailing address
501 Main St Ste 2
Reinbeck, IA 50669
Phone (319) 345-6667
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2150771 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160405000637 | IA | Order and Referring Only - Dentist | 2961709019 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06330 | IA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sigita Jankunas DDS PC | Past | Accepting new patients | |
| Reinbeck Family Dental | Dentist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Reinbeck, IA
- NPI 1639960982
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700896859",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MAIN ST STE 2",
"city": "REINBECK",
"state": "IA",
"postal_code": "50669",
"telephone_number": "319-345-6667",
"fax_number": "319-345-2449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MAIN ST STE 2",
"city": "REINBECK",
"state": "IA",
"postal_code": "50669",
"telephone_number": "319-345-6667",
"fax_number": "319-345-2449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOELE",
"first_name": "DOUGLAS",
"middle_name": "HEIN",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IA",
"license": "06330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2150771",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Reinbeck, IA
- Tiffany Lynn Buchheit, ARNP
- Shannon Lynn Clark, D.C.
- Gladbrook Reinbeck Community School District
- Laura Ann Greiner, LMHC, M.A., M.S.
- Sigita Jankunas, D.D.S.
- Brett Morton Medhus, D.C.
- Parkview Manor, Inc.
- Phil's Pharmacy, LLC (Phil's Pharmacy)
- Blake Randolph, NP-C
- Reinbeck Family Dental (Douglas H Koele DDS)
Sources for this page
- 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.