DR. MARK RICHARD KOENEN (NPI# 1023111952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023111952 |
| Entity Type | Individual |
| Full Name | DR. MARK RICHARD KOENEN |
| Credential | DDS |
| Practice Address |
520 La Gonda Way # 204 Danville CA 94526-1741 |
| Mailing Address |
520 La Gonda Way Suite 204 Danville CA 94526-1741 |
| Practice Telephone | 9258376318 |
| Practice Fax Number | 9258374992 |
| Mailing Telephone | 9258376318 |
| Mailing Fax Number | 9258374992 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2012-11-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
36780 | CA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649414301 | Mark Koenen | Psychiatry & Neurology | 601 Union St, Suite 1704, Seattle, WA 98101-2341 | 2009-04-26 |
| Street Address |
520 LA GONDA WAY # 204 |
| City | DANVILLE |
| State | CA |
| Zip Code | 94526-1741 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518952639 | Annie Louie Wong | Dentist | 520 La Gonda Way, Suite 202, Danville, CA 94526-1741 | 2005-09-14 |
| 1720503923 | Joey Nguyen | Dentist | 520 La Gonda Way, Danville, CA 94526-1741 | 2017-08-08 |
| 1174809230 | David A Partrite | Dentist | 520 La Gonda Way, #103, Danville, CA 94526-1741 | 2011-11-02 |
| 1083772636 | Thomas Wellington Wood Jr. | Dentist | 520 La Gonda Way, Suite 101, Danville, CA 94526-1741 | 2006-12-05 |
| 1023115896 | Mark Alan Graham | Dentist | 520 La Gonda Way, Suite 102, Danville, CA 94526-1741 | 2006-09-20 |
| 1861502957 | David A Graham | Dentist | 520 La Gonda Way, Suite 102, Danville, CA 94526 | 2006-08-30 |
| 1285743815 | Robert Anthony Miranda | Dentist | 520 La Gonda Way, Suite 203, Danville, CA 94526-1741 | 2006-08-29 |
| 1609896141 | James M. Giblin | Dentist | 520 La Gonda Way, Ste. 201, Danville, CA 94526-1741 | 2006-07-20 |
| 1861459539 | John P O'grady | Dentist | 520 La Gonda Way, Suite 104, Danville, CA 94526-1741 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346706363 | Todd M Yonemura Dds, Apc | Dentist | 400 El Cerro Blvd., Suite #103, Danville, CA 94526 | 2019-02-14 |
| 1821585415 | Cynthia N Atchoukeu | Behavior Technician | 811 San Ramon Valley Suite 100, Danville, CA 94526 | 2018-04-18 |
| 1649708850 | Michelle Nicole Kolander | Specialist/Technologist | 209 Rutherford Dr, Danville, CA 94526 | 2017-06-01 |
| 1396155594 | Laurie Elizabeth Wallis | Registered Nurse | 145 Town & Country Blvd., Suite 106, Danville, CA 94526 | 2014-04-28 |
| 1437585486 | Brielle Shipman | Chiropractor | 391 Diablo Rd, Ste B, Danville, CA 94526 | 2013-09-23 |
| 1841626298 | Gloria Lynn Kopp | Nurse Practitioner | 309 Windstream Place, Danville, CA 94526 | 2013-09-17 |
| 1023378635 | Vision Dynamics Optometric Center | Optometrist | 417 Sycamore Valley Road West, Danville, CA 94526 | 2012-05-17 |
| 1346517620 | Adam Wallach,m.d. A Professional Corporation | Specialist | 400 El Cerro Blvd., Ste. 204, Danville, CA 94526 | 2011-11-30 |
| 1184949661 | Judianne Marguriette Walker | Podiatrist | 1320 El Capitan Ste 410, Danville, CA 94526 | 2010-03-29 |
| 1619108685 | Brandon Riggins | Counselor | 115 Town and Country Dr., Danville, CA 94526 | 2009-08-07 |
| Find all providers in zip 94526 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053912121 | Danville Downtown Dentistry LLC | Dentist | 94 S Tennessee St, Danville, IN 46122-1836 | 2020-11-05 |
| 1487213583 | Austin Lee Moon | Dentist | 770 Piney Forest Rd Ste A, Danville, VA 24540-2876 | 2019-06-12 |
| 1306343868 | Danville Dental Associates, PC | Dentist | 5011 Riverside Dr Ste B, Danville, VA 24541-5642 | 2018-04-11 |
| 1982126322 | Jennifer Hudson Begley | Dentist | 116 Skywatch Dr Ste A, Danville, KY 40422-2537 | 2017-07-07 |
| 1407392384 | Swati Mukul Kumar | Dentist | 116 Skywatch Dr # A, Danville, KY 40422-2537 | 2017-01-16 |
| 1922450659 | Samba Norris | Dentist | 706 S Market Street, Danville, OH 43014 | 2016-07-06 |
| 1639575913 | Riverview Dental Care, P.C. | Dentist | 4035 Riverside Dr, Danville, VA 24541-5152 | 2014-11-13 |
| 1780097535 | Matthew Murdock | Dentist | 4 Wesner Ln, Danville, PA 17821-8023 | 2014-06-10 |
| 1871866558 | Stephen Randall Snow | Dentist | 909 San Ramon Valley Blvd Ste 216, Danville, CA 94526-4038 | 2012-02-11 |
| 1386945368 | Valerie Johnston | Dentist | 156 Diablo Rd, Suite 202, Danville, CA 94526-3312 | 2010-11-08 |
| Find all providers in DANVILLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.