DR. ADAM DAVID KOCH DDS
NPI 1710415542
Dentist - General Practice in Green Bay, WI
About Dr. Adam David Koch Dds NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ADAM DAVID KOCH DDS (NPI 1710415542) is an individual general practice provider in Green Bay, Wisconsin, licensed in Wisconsin (1001522-15) and active in the NPI registry since May 2017. He has opted out of Medicare through June 28, 2027 and remains eligible to order and refer.
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
Opted out of Medicare
Dr. Adam David Koch Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from June 28, 2017 through June 28, 2027.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54301 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 5
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 Adam Koch's NPI number?
The NPI number for Adam Koch is 1710415542. It was assigned to this individual provider in the NPPES registry on May 24, 2017.
Where is Adam Koch located?
Adam Koch practices at 315 S Monroe Ave, Green Bay, WI 54301. The listed phone number is (920) 437-3376.
What is Adam Koch's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Adam Koch enrolled in Medicare?
No. Adam Koch has opted out of Medicare through June 28, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Adam Koch accept?
Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental of Wisconsin, Inc. and Humana and 1 other insurer list Adam 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 Adam Koch was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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. Adam David Koch, DDS · NPI 1710415542
General Practice provider in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since May 24, 2017.
## Identity
- **NPI:** 1710415542 (Entity type: Individual)
- **Enumerated:** May 24, 2017
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** 1001522-15 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 315 S MONROE AVE, Green Bay, WI 54301-4013
- **Phone:** (920) 437-3376
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through June 28, 2027); services are provided under private contract
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1710415542) · Data from the CMS NPPES public registry.