Individual provider Active NPI

Sara Margaret Koelling, D.D.S.

  • General Practice Dentistry
  • Kingsley, IA
National Provider Identifier
1710061908
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08034 Issued in IA
Practice address
12 East 2ND St
Kingsley, IA 51028-0220
Phone
(712) 378-2061
Fax
(712) 378-2348
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 08034 IA Primary

Addresses

Primary practice location

12 East 2ND St
Kingsley, IA 51028-0220

Mailing address

12 East 2ND St
Kingsley, IA 51028-0220
Phone (712) 378-2061

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160407000377 IA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 8729386727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Karl & Sara Koelling DDS, P.C. General Practice 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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710061908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 EAST 2ND ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "510280220",
            "telephone_number": "712-378-2061",
            "fax_number": "712-378-2348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 EAST 2ND ST",
            "city": "KINGSLEY",
            "state": "IA",
            "postal_code": "510280220",
            "telephone_number": "712-378-2061",
            "fax_number": "712-378-2348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOELLING",
        "first_name": "SARA",
        "middle_name": "MARGARET",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IA",
            "license": "08034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsley, IA

Sources for this page

Verify at the official NPI Registry.