Individual provider Active NPI

Nevanna Ingeborg Koicheff, DDS

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1992798326
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
044826 Issued in CA
Practice address
452002 Mitscher Way
BLDG 2495
San Diego, CA 92145
Phone
(619) 754-3223
NPI assigned
Aug 31, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 044826 CA Primary

Addresses

Primary practice location

452002 Mitscher Way
BLDG 2495
San Diego, CA 92145

Mailing address

452002 Mitscher Way
BLDG 2495
San Diego, CA 92145
Phone (619) 754-3223

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

LicenseStateTypeSpecialty
044826CAMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1992798326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "452002 MITSCHER WAY",
            "address_2": "BLDG 2495",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92145",
            "telephone_number": "619-754-3223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "452002 MITSCHER WAY",
            "address_2": "BLDG 2495",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92145",
            "telephone_number": "619-754-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOICHEFF",
        "first_name": "NEVANNA",
        "middle_name": "INGEBORG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-31",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "044826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.