DR. KIMBERLY A KOCH (NPI# 1649257098) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649257098 |
| Entity Type | Individual |
| Full Name | DR. KIMBERLY A KOCH |
| Credential | D.D.S. |
| Practice Address |
3715 S Madison St Muncie IN 47302-5756 |
| Mailing Address |
3715 S Madison St Po Box 1676 Muncie IN 47302-5756 |
| Practice Telephone | 7652814257 |
| Practice Fax Number | 7652132769 |
| Mailing Telephone | 7652814257 |
| Mailing Fax Number | 7652132769 |
| Enumeration Date | 2005-12-28 |
| Last Update Date | 2011-06-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
12010451A | IN | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 200386460 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831335173 | Kimberly Ann Koch | Nurse Practitioner | 1305 Airport Fwy Ste 405, Bedford, TX 76021-6607 | 2008-12-16 |
| 1194101246 | Kimberly Denton Koch | Dentist | 17597 Cedar Ave, Lakeville, MN 55044-5269 | 2015-07-30 |
| 1699917112 | Kimberly S Koch | Student in an Organized Health Care Education/Training Program | 887 Kellum St, Lindenhurst, NY 11757-1508 | 2009-03-30 |
| Street Address |
3715 S MADISON ST |
| City | MUNCIE |
| State | IN |
| Zip Code | 47302-5756 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205822111 | Catherine Lee Roland | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2005-09-26 |
| 1780992834 | Brittany R Peterson | Dietitian, Registered | 3715 S Madison St, Muncie, IN 47302-5756 | 2010-09-22 |
| 1679800361 | Denay Marie Dreiband | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2009-11-17 |
| 1669666855 | Cindy Renee Evans | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2007-08-30 |
| 1639258155 | Sheila K Johnson | Registered Nurse | 3715 S Madison St, Muncie, IN 47302-5756 | 2006-11-03 |
| 1982666186 | Molly Tripp Graybeal | Nurse Practitioner | 3715 S Madison St, Muncie, IN 47302-5756 | 2006-04-04 |
| 1992783740 | Ted Lynn Fullhart | Dentist | 3715 S Madison St, Muncie, IN 47302-5756 | 2006-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932617370 | Joshua Bronson | Chiropractor | 501 W Memorial Dr #2894, Muncie, IN 47302 | 2018-01-19 |
| 1083826580 | Janalee Lukens | Speech-Language Pathologist | 2700 E. 450 S., Muncie, IN 47302 | 2007-05-04 |
| 1639390123 | Kiely D Rednour | Physical Therapy Assistant | 3813 S Madison Street, Muncie, IN 47302 | 2007-05-01 |
| 1073617395 | Wal-mart Stores East, Lp | Technician/Technologist | 1501 E. 29th St., Muncie, IN 47302 | 2006-09-08 |
| 1255369013 | Roger D Grimm | Specialist/Technologist | 3813 S. Madison St., Muncie, IN 47302 | 2006-06-29 |
| 1649252891 | David Michael Buksar | Dentist | 3745 South Madison St, Muncie, IN 47302 | 2005-11-15 |
| 1366524217 | Behavioral Interventions Inc | Counselor | 2207 W Memorial Dr, Muncie, IN 47302-2075 | 2006-10-19 |
| 1144207614 | Elizabeth Treese | Internal Medicine | 905 S Walnut St, Muncie, IN 47302-2333 | 2005-12-27 |
| 1710309588 | Kathryn Gramlich | Nurse Practitioner | 905 S Walnut St, Muncie, IN 47302-2333 | 2014-01-14 |
| 1356549588 | Zohair Mapara | Family Medicine | 905 S Walnut St, Muncie, IN 47302-2333 | 2007-07-10 |
| Find all providers in zip 47302 | ||||
| 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 |
|---|---|---|---|---|
| 1437557345 | Great Lakes Family Dental Group-muncie, P.C. | Dentist | 1003 W. Mcgalliard Road, Muncie, IN 47303 | 2014-12-09 |
| 1093064339 | Suzanne Rae Reedy | Dentist | 2301 W. Jackson, Muncie, IN 47303 | 2012-08-31 |
| 1902154248 | Southway Family Dentistry | Dentist | 3745 S Madison St, Muncie, IN 47302-5756 | 2012-08-16 |
| 1245559822 | Thomas Chase Cornils | Dentist | 2016 W Mcgalliard Rd, Muncie, IN 47304-2148 | 2010-05-22 |
| 1184859803 | John T Notarianni | Dentist | 1825 W Mcgalliard Rd, Muncie, IN 47304-2210 | 2009-05-26 |
| 1467612481 | The Dental Place | Dentist | 1804 W Mcgalliard Rd, Muncie, IN 47304-2209 | 2008-06-12 |
| 1659548139 | Allcare Dental & Dentures of In PC | Dentist | 613 E Mcgalliard Rd, Muncie, IN 47303-2066 | 2008-05-13 |
| 1477768026 | Suzanne R. Reedy, D.d.s., P.C. | Dentist | 2301 W Jackson St, Muncie, IN 47303-4733 | 2007-05-14 |
| 1326250325 | Jackson Family Dentistry | Dentist | 202 Reserve, Muncie, IN 47303 | 2007-05-04 |
| 1003038225 | Dental Professionals of Indiana, P.C. | Dentist | 1130 E Princeton Ave, Muncie, IN 47303 | 2007-05-03 |
| Find all providers in MUNCIE | ||||
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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.