Individual provider Active NPI

Steven Alan Koff, DMD

  • General Practice Dentistry
  • Westford, MA
National Provider Identifier
1851303515
Registry record updated Jan 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13968 Issued in MA
Practice address
270 Littleton Rd
Unit #12
Westford, MA 01886-3526
Phone
(978) 692-3051
Fax
(978) 692-8875
NPI assigned
Aug 12, 2006
Last updated
Jan 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 13968 MA Primary

Addresses

Primary practice location

270 Littleton Rd
Unit #12
Westford, MA 01886-3526

Mailing address

270 Littleton Rd
Unit #12
Westford, MA 01886-3526
Phone (978) 692-3051

Other identifiers 3

IdentifierTypeStateIssuer
XO8538OtherBCBS
990325OtherUNITED CONCORDIA
0252352MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20150707001185 MA Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7517279409

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13968MAMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Comfort Dental Associates LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1851303515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 LITTLETON RD",
            "address_2": "UNIT #12",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863526",
            "telephone_number": "978-692-3051",
            "fax_number": "978-692-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 LITTLETON RD",
            "address_2": "UNIT #12",
            "city": "WESTFORD",
            "state": "MA",
            "postal_code": "018863526",
            "telephone_number": "978-692-3051",
            "fax_number": "978-692-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOFF",
        "first_name": "STEVEN",
        "middle_name": "ALAN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-12",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MA",
            "license": "13968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "XO8538",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA",
            "identifier": "990325",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0252352",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westford, MA

Sources for this page

Verify at the official NPI Registry.