DR. KIMBERLY DENTON KOCH DDS
NPI 1194101246
Dentist in Lakeville, MN

Active since July 30, 2015PECOS Enrolled
17597 CEDAR AVE, LAKEVILLE, MN 55044(952) 431-6606 Get Directions Write a Review

NPPES record last updated: July 22, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kimberly Denton Koch Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KIMBERLY DENTON KOCH DDS (NPI 1194101246) is an individual dentist in Lakeville, Minnesota, licensed in Minnesota (D13739) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194101246
Entity TypeIndividualFemale
Primary Taxonomy122300000X
Provider Legal NameDR. KIMBERLY DENTON KOCHCredential: DDS
Location Address17597 CEDAR AVELakeville, MN 55044-5269
Mailing Address17597 Cedar AveLakeville, MN 55044-5269 · (952) 431-6606
Sole ProprietorYes
Enumeration DateJuly 30, 2015
Last NPPES UpdateJuly 22, 2016
NPI 1194101246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in MN · D13739
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
17597 CEDAR AVE, Lakeville, MN 55044

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Kimberly Denton Koch Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
17597 CEDAR AVE
LAKEVILLE, MN 55044
Dentist
17597 CEDAR AVE
LAKEVILLE, MN 55044
Dentist
17597 CEDAR AVE
LAKEVILLE, MN 55044

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Koch's NPI number?

The NPI number for Kimberly Koch is 1194101246. It was assigned to this individual provider in the NPPES registry on July 30, 2015.

Where is Kimberly Koch located?

Kimberly Koch practices at 17597 Cedar Ave, Lakeville, MN 55044. The listed phone number is (952) 431-6606.

What is Kimberly Koch's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Kimberly Koch enrolled in Medicare?

Yes. Kimberly Koch is registered in the Medicare PECOS enrollment system.

What insurance does Kimberly Koch accept?

Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 5 other insurers list Kimberly Koch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kimberly Koch was last updated on July 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.