John Henrik Koski, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60468640 Issued in WA

Practice address

15 SW 20TH Ave
Battle Ground, WA 98604-3133

Phone

(360) 687-5665

Fax

(360) 687-5053

NPI assigned

Jun 27, 2013

Last updated

Jun 24, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

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

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Fork Dental LLC

  • General Practice Dentistry
  • Battle Ground, WA
  • NPI 1578034526
  NPD (past)

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

{
    "created_epoch": "1372291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1760822373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 157",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986040157",
            "telephone_number": "360-687-5665",
            "fax_number": "360-687-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 SW 20TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986043133",
            "telephone_number": "360-687-5665",
            "fax_number": "360-687-5053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSKI",
        "first_name": "JOHN",
        "middle_name": "HENRIK",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-27",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "434",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60468640",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "D1031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Knapp
• Valentin Kochenkov
• Jeffrey Neal Kockritz, D.D.S.
• Carolyn N Kohlenberger, LPC, LMHC
• Sarah Natanya Kohlenberger, LMHC
• Elizabeth Waddington Lagerson, DO
• Janine Lamberg, NTP
• Holly Marie Lane
• Merisa Lapier, LMP
• Mark S Larue, D.C.

• General Practice Dentistry in Battle Ground, WA
• Providers in Battle Ground, WA by specialty
• General Practice Dentistry in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.

Verify at the official NPI Registry.