Gianna Paola Koker, SURGEON DENTIST

Primary specialty

DentistTaxonomy code 122300000X

License

14279 Issued in MN

Practice address

4310 Menard Dr Ste 300
Duluth, MN 55811-1564

Phone

(218) 279-9985

Fax

(218) 279-9987

NPI assigned

Jun 10, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Gianna Paola Koker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Affordable Dentures & Implants - Duluth, P.C.

  • General Practice Dentistry
  • Duluth, MN
  • NPI 1639901499
  NPD Authorized official
• Affordable Dentures - Duluth, P.C.

  • Dentist
  • Duluth, MN
  • NPI 1639529977
  NPD (past)
• Apple Tree Dental

  • General Practice Dentistry
  • Rochester, MN
  • NPI 1598924268
  NPD (past)

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

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1730538661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "973 SKYLINE DR SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559021220",
            "telephone_number": "208-996-5851",
            "fax_number": "507-424-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4310 MENARD DR STE 300",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558111564",
            "telephone_number": "218-279-9985",
            "fax_number": "218-279-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOKER",
        "first_name": "GIANNA",
        "middle_name": "PAOLA",
        "credential": "SURGEON DENTIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "LGL14",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "14279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GIANNA",
            "last_name": "KOKER",
            "middle_name": "PAOLA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Gary George Kohls, M.D.
• Leon Donald Kohn
• Donna Faye Kohne
• Jamie Koivisto-Goeppinger, LPCC
• Ross Aleksander Koivisto
• Krishna Prasad Kolandaivel, M.D.
• Daniel Glen Kolenda, PA-C
• Jenna Kollmann, LPCC
• Joel David Kolmodin, MD
• Maria Kolojeski, D.O.

• Dentist in Duluth, MN
• Providers in Duluth, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.