Koch Medicine LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4447 Issued in SD

Legal business name

KOCH MEDICINE LLC

Doing business as

Dakota Primary Care

Practice address

4447 S Canyon Rd
Suite 6
Rapid City, SD 57702

Phone

(605) 721-6426

Fax

(605) 721-5515

NPI assigned

Dec 5, 2013

Organization subpart

No

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

Authorized official

Name

Sherri Koch, MDNPI 1518904515

Title

President

Phone

(605) 791-3974

Specialties & licenses 1

Addresses

Other names 1

• Dakota Primary Care Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sherri Danelle Koch, MD

  • Family Medicine Physician
  • Rapid City, SD
  • NPI 1518904515
  Authorized official Same address or phone

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

{
    "created_epoch": "1386201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1750712485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 346",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "577090346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4447 S CANYON RD",
            "address_2": "SUITE 6",
            "city": "RAPID CITY",
            "state": "SD",
            "postal_code": "57702",
            "telephone_number": "605-721-6426",
            "fax_number": "605-721-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCH MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-12-05",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-791-3974",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dakota Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Triscell Knuppe, LCSW
• Siri Shirene Knutsen Larson, M.D.
• Roger Steven Knutsen, M.D.
• Kaleh June Knutson, FNP
• Mary Beth Kobza Halle, MA
• Jason R Koch, PA-C
• Sherri Danelle Koch, MD
• Vicki Colleen Koebernick, D.C.
• Michael Andrew Koehn, D.C.
• Amanda Koepp

• Family Medicine Physician in Rapid City, SD
• Providers in Rapid City, SD by specialty
• Family Medicine Physician in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.