Active NPI
Karl G Kohlgraf, DDS, PHD
- General Practice Dentistry
- Loveland, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 202109
- Practice address
- 302 3Rd St SE Ste 150
Loveland, CO 80537 - Phone
- (970) 461-8942
- Fax
- (970) 292-1538
- NPI assigned
- Apr 26, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08912 | IA | |
| General Practice Dentistry | 1223G0001X | 202109 | CO | Primary |
Addresses
Primary practice location
302 3Rd St SE Ste 150
Loveland, CO 80537
Mailing address
2930 11TH Ave
Evans, CO 80620-1011
Phone (970) 350-4606
Other practice location 1
1006 A St
Greeley, CO 80631-2021
Phone (970) 352-0048
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202109 | CO | MD | General Practice Dentistry |
| 08912 | IA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunrise Community Health | Current | Accepting new patients | |
| Sunrise Community Health | Current | Accepting new patients | |
| Sunrise Community Health | Current | Accepting new patients | |
| Sunrise Community Health | Past | Accepting new patients |
Locations
2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606
1400 37th St
Evans, CO 80620
Phone (970) 348-1112
1006 A St
Greeley, CO 80631
Phone (970) 352-0048
100 N 11th Ave
Greeley, CO 80631
Phone (970) 347-2384
111 E 26th St
Greeley, CO 80631
Phone (970) 702-2675
302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855
Interoperability endpoints
- karl.kohlgraf.1@27043.direct.athenahealth.com
Organizations & group practices 4
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.
-
dba Loveland Community Health Clinic
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1902005382
-
dba Monfort Family Clinic
- Federally Qualified Health Center (FQHC)
- Evans, CO
- NPI 1295732048
-
dba North Loveland Community Health Center
- Federally Qualified Health Center (FQHC)
- Loveland, CO
- NPI 1700690252
-
dba Sunrise Family Dental
- Federally Qualified Health Center (FQHC)
- Greeley, CO
- NPI 1699073395
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1922366038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2930 11TH AVE",
"city": "EVANS",
"state": "CO",
"postal_code": "806201011",
"telephone_number": "970-350-4606",
"fax_number": "970-350-4645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "302 3RD ST SE STE 150",
"city": "LOVELAND",
"state": "CO",
"postal_code": "80537",
"telephone_number": "970-461-8942",
"fax_number": "970-292-1538"
}
],
"practiceLocations": [
{
"address_1": "1006 A St",
"address_purpose": "LOCATION",
"city": "Greeley",
"state": "CO",
"postal_code": "806312021",
"country_code": "US",
"telephone_number": "970-352-0048",
"fax_number": "970-352-2120",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOHLGRAF",
"first_name": "KARL",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DDS, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-26",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IA",
"license": "08912",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CO",
"license": "202109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loveland, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; 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.