DR. ALDO KOENTJORO D.D.S
NPI 1366738924
Dentist - General Practice in Grand Island, NE
About Dr. Aldo Koentjoro D.d.s NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ALDO KOENTJORO D.D.S (NPI 1366738924) is an individual general practice provider in Grand Island, Nebraska, licensed in Nebraska (6963) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
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. Aldo Koentjoro D.d.s is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 68803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Aldo Koentjoro's NPI number?
The NPI number for Aldo Koentjoro is 1366738924. It was assigned to this individual provider in the NPPES registry on June 22, 2011.
Where is Aldo Koentjoro located?
Aldo Koentjoro practices at 206 Wilmar Ave, Grand Island, NE 68803. The listed phone number is (308) 384-7500.
What is Aldo Koentjoro's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Aldo Koentjoro enrolled in Medicare?
Yes. Aldo Koentjoro is registered in the Medicare PECOS enrollment system.
What insurance does Aldo Koentjoro accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 16 other insurers list Aldo Koentjoro 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 Aldo Koentjoro was last updated on June 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Aldo Koentjoro, D.D.S · NPI 1366738924
General Practice provider in Grand Island, Nebraska. Individual provider, active in the CMS NPPES registry since June 22, 2011.
## Identity
- **NPI:** 1366738924 (Entity type: Individual)
- **Enumerated:** June 22, 2011
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 6963 (Nebraska)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 206 WILMAR AVE, Grand Island, NE 68803-3559
- **Phone:** (308) 384-7500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
## Record status
- **NPPES last updated:** June 22, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1366738924) · Data from the CMS NPPES public registry.