Daniele Bressanelli Koch, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN19122 Issued in FL

Practice address

1611 NW 12TH Ave FL Acc
Miami, FL 33136-1005

Phone

(305) 585-6857

NPI assigned

Dec 29, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Daniele B Koch Other name

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.

• Gables Dental Care

  • General Practice Dentistry
  • Coral Gables, FL
  • NPI 1639350606
  NPD (past)

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

{
    "created_epoch": "1230508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1760628515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 SW 8TH ST",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331343001",
            "telephone_number": "305-443-7501",
            "fax_number": "305-443-2888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE FL ACC",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH",
        "first_name": "DANIELE",
        "middle_name": "BRESSANELLI",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-29",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "DN19122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELE",
            "last_name": "KOCH",
            "middle_name": "B",
            "credential": "DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Karen Marjorie Knuth, PSY.D.
• Siu-Keung Andrew Ko, D.M.D.
• Kaitlin Marie Kobaitri, D.O.
• Steven Allen Kobetz, MD
• Annelyssa Koch, APRN
• Isabella Koch, PT
• Sebastian Koch, MD
• Merline Kocheekkaran Veettil Benny, M.B.B.S.
• Nona Kocher, MPH, MD
• Pullaiah Kodumuru

• General Practice Dentistry in Miami, FL
• Providers in Miami, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.