Leroy W Koschel, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

4891 Issued in LA

Practice address

5151 Plank Rd
Suite. 17-a
Baton Rouge, LA 70805-3501

Phone

(225) 355-3070

Fax

(225) 355-6305

NPI assigned

Feb 23, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Affordable Dental Care

  • General Practice Dentistry
  • Baton Rouge, LA
  • NPI 1740447424
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1992830350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD STE 17A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053501",
            "telephone_number": "225-355-3070",
            "fax_number": "225-355-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PLANK RD",
            "address_2": "SUITE. 17-A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708053501",
            "telephone_number": "225-355-3070",
            "fax_number": "225-355-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSCHEL",
        "first_name": "LEROY",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "LA",
            "license": "4891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1880973",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1848913",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Nicole Konopada
• Eleanor Koonce
• Thomas Koontz, RPH
• Nancy Gremillion Kora, LDN, RD, CDE
• Chandra S Koritala, M.D.
• Robert L Koscick
• Carolyn Kothe, RN
• William Charles Kovach, PT, DPT
• Konstantin Kovtun, M.D.
• Tosha R. Kowal, LDN, RD, CDCES

• General Practice Dentistry in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• General Practice Dentistry in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2012; 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.