Landon Koth

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

PENDING Issued in SD

Practice address

7000 S Santa Rosa CT
Sioux Falls, SD 57108-8539

Phone

(605) 335-8640

NPI assigned

Apr 4, 2024

Last updated

Apr 4, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1891547600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 E TRANQUILITY ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571084912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 S SANTA ROSA CT",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571088539",
            "telephone_number": "605-335-8640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTH",
        "first_name": "LANDON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SD",
            "license": "PENDING",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald J Kosiak Jr., MD
• Nicole Jacqueline Koskovich, PT
• Audrey M Kost
• Tori Rischelle Kostman, MD
• Allie Jean Koth, DDS
• Noah Richard Kottke, OTD, OTR/L
• Stacy Kouril
• Javier Kovacs, M.D.
• Cheri L. Kovalenko, CNP
• David H Kovaleski, M.D.

• General Practice Dentistry in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• General Practice Dentistry in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.