Active NPI
Anne Lauren Koch, DMD
- Endodontics
- West Yarmouth, MA
National Provider Identifier
1851892434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- DN13735
- Practice address
- 29 Lewis Bay Blvd
Suite 4
West Yarmouth, MA 02673 - Phone
- (631) 219-9845
- NPI assigned
- Feb 28, 2018
- Last updated
- Feb 28, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | DN13735 | MA | Primary |
Addresses
Primary practice location
29 Lewis Bay Blvd
Suite 4
West Yarmouth, MA 02673
Mailing address
PO Box 778
West Yarmouth, MA 02673
Phone (631) 219-9845
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 |
|---|---|---|---|
| DN13735 | MA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519776000000",
"number": "1851892434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 778",
"city": "WEST YARMOUTH",
"state": "MA",
"postal_code": "02673",
"telephone_number": "631-219-9845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LEWIS BAY BLVD",
"address_2": "SUITE 4",
"city": "WEST YARMOUTH",
"state": "MA",
"postal_code": "02673",
"telephone_number": "631-219-9845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCH",
"first_name": "ANNE",
"middle_name": "LAUREN",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-02-28",
"last_updated": "2018-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "MA",
"license": "DN13735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Yarmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 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.