Active NPI
Robert James Koch, DMD
- Dentist
- Scottsdale, AZ
National Provider Identifier
1811515885
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- D010703
- Practice address
- 33739 N Scottsdale Rd Ste 101
Scottsdale, AZ 85266-1561 - Phone
- (480) 488-4852
- NPI assigned
- Jul 7, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D010703 | AZ | Primary |
Addresses
Primary practice location
33739 N Scottsdale Rd Ste 101
Scottsdale, AZ 85266-1561
Mailing address
33739 N Scottsdale Rd Ste 101
Scottsdale, AZ 85266-1561
Phone (480) 488-4852
Other practice location 1
1985 W Happy Valley Rd Ste 115
Phoenix, AZ 85085-2888
Phone (602) 726-1594
Other practice location 2
2236 W Bethany Home Rd Ste 1
Phoenix, AZ 85015-1934
Phone (602) 246-2217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D010703 | AZ | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Desert Sage Family Dental | Current | Accepting new patients | |
| John N Harman IV DDS BH PLLC | Current | Accepting new patients |
Locations
2236 W Bethany Home Rd
Ste 1
Phoenix, AZ 85015
Phone (602) 246-2217
Organizations & group practices 2
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.
-
- Dental Clinic/Center
- Phoenix, AZ
- NPI 1487302279
-
- Dental Clinic/Center
- Phoenix, AZ
- NPI 1295353639
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620432000000",
"number": "1811515885",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33739 N SCOTTSDALE RD STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661561",
"telephone_number": "480-488-4852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33739 N SCOTTSDALE RD STE 101",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852661561",
"telephone_number": "480-488-4852"
}
],
"practiceLocations": [
{
"address_1": "1985 W Happy Valley Rd Ste 115",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850852888",
"country_code": "US",
"telephone_number": "602-726-1594",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2236 W Bethany Home Rd Ste 1",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850151934",
"country_code": "US",
"telephone_number": "602-246-2217",
"fax_number": "602-336-9513",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOCH",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-07",
"last_updated": "2021-05-08",
"certification_date": "2021-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AZ",
"license": "D010703",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.