Douglas J. Koch, D.D.S.,L.L.C.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

8687 Issued in MD

Legal business name

DOUGLAS J. KOCH, D.D.S.,L.L.C.

Doing business as

Endodontic Associates

Practice address

85 Thomas Johnson CT
Suite a
Frederick, MD 21702-4331

Phone

(301) 663-0052

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Douglas J Koch, D.D.S.NPI 1811072291

Title

Owner

Phone

(301) 663-0052

Specialties & licenses 1

Addresses

Other names 1

• Endodontic Associates Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Douglas John Koch, DDS

  • Endodontics
  • Frederick, MD
  • NPI 1811072291
  NPD (past) Authorized official

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1982789269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9354 CABBAGE RUN RD",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217012214",
            "telephone_number": "301-845-7759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 THOMAS JOHNSON CT",
            "address_2": "SUITE A",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024331",
            "telephone_number": "301-663-0052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS J. KOCH, D.D.S.,L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-663-0052",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Endodontics",
            "state": "MD",
            "license": "8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Endodontic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emily Dorsey, LCPC
• Rose Dorsky, M.S., BCBA, LBA
• Dottie Harkless, LCSW-C, LLC
• Matilda Marie Dougherty, LGPC, NCC
• Caroline Doughty, LGPC
• Asia Kimberly Douglas
• Lisa Dover
• Kelly Rebecca Dowe, NP-C
• Christina Dowling, LMT
• Mary Louise Downs

• Endodontics in Frederick, MD
• Providers in Frederick, MD by specialty
• Endodontics in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.