Heather R Koch DDS PLLC

Primary specialty

DentistTaxonomy code 122300000X

License

6195 Issued in OK

Legal business name

HEATHER R KOCH DDS PLLC

Doing business as

Hinton Family Dental

Practice address

1902 N Broadway
Hinton, OK 73047

Phone

(405) 554-1018

NPI assigned

Aug 10, 2016

Last updated

Aug 10, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Heather Renee Koch, DDSNPI 1124349659

Title

Sole Member

Phone

(405) 554-1018

Specialties & licenses 1

Addresses

Other names 1

• Hinton Family Dental Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Renee Koch, D.D.S

  • Dentist
  • Mustang, OK
  • NPI 1124349659
  NPD (past) Authorized official

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

{
    "created_epoch": "1470787200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1942754783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "730470047",
            "telephone_number": "405-554-1018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1902 N BROADWAY",
            "city": "HINTON",
            "state": "OK",
            "postal_code": "73047",
            "telephone_number": "405-554-1018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER R KOCH DDS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-10",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "405-554-1018",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "6195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hinton Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tara Dunn
• Brittny Renee Everett, APRN
• Jennifer Gale Garner, PA-C
• Greg George, D.PH.
• Great Plain Correctional Facility
• Hinton Family Medical Clinic, LLC
• Hinton Public Schools
• Hinton RX Inc. (Hinton Pharmacy)
• Julie Roxane Lamb, LPC CANDIDATE
• LJG Inc (Chiropractic Physicians Clinic George F Gorton DC)

• Dentist in Hinton, OK
• Providers in Hinton, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.