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Dr. Eric J Koenig , DMD

Dentist β€’ Nellis Afb, NV

Active NPI 1255611901 Individual Practitioner Male Practitioner
Practice location in NPPES

4700 Las Vegas Blvd N
Nellis Afb, NV 891916600

Call 7026532600 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

4700 Las Vegas Blvd N

Nellis Afb, NV 891916600

Telephone 7026532600
Organization at the Same NPPES Address or Phone
99th Medical Group, Nellis Afb Facility NPI 1740261122

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2011

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Koenig has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Koenig as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Nellis Afb and Nevada

22 active clinicians are listed under Dentist with a practice address in Nellis Afb, NV (848 in Nevada).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Nellis Afb

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

License # reported to NPPES CO 10558

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Nevada State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

ORDER AND REFERRING ONLY - DENTIST

Medicare Enrollment ID

I20180621000734

Enrollment State Jurisdiction

CA

PECOS Control ID

7315292026

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Not Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

12 listed
NPI 1134502206

Doctor of Dental Surgery

NPI 1285610147

Doctor of Dental Surgery

Wayne Dudley

Dentist - Oral and Maxillofacial Surgery

NPI 1952383002
Dr. Patrick Gaus , DDS

Dentist - Oral and Maxillofacial Surgery

NPI 1225302334

Doctor of Dental Surgery

NPI 1346581618

Doctor of Dental Surgery

NPI 1477602258

Doctor of Dental Medicine

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
βœ…
NPI Profile Active September 06, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address September 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 89191 (Tel: (702) 653-2600)

πŸ“
Updated Practice Location September 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 7026532600)

πŸ‘€
Provider Name / Credentials Updated September 06, 2017

Recorded as ERIC KOENIG, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 06, 2017

Dentist (license number reported to NPPES: CO 10558)

πŸ“
Updated Practice Location June 06, 2017

Registered at 4700 LAS VEGAS BLVD N, NELLIS AFB, NV 891916600 (Tel: 8589224843)

πŸ“
Updated Business Mailing Address June 06, 2017

Registered at 26064 CHARONNE CT, VALENCIA, CA 913552024 (Tel: (858) 922-4843)

βœ…
NPI Profile Active September 12, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) September 12, 2012

Registered at 412TH DENTAL CLINIC, 31 NIGHTINGALE RD, EDWARDS AFB, CA 93524 (Tel: 6612772872)

πŸ“
Business Mailing Address (Initial Record) September 12, 2012

Registered at 1109 IRONWOOD AVE, PALMDALE, CA 93551 (Tel: 8589224843)

πŸ‘€
Provider Name / Credentials (Initial Record) September 12, 2012

Recorded as ERIC KOENIG, DMD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 12, 2012

Dentist (license number reported to NPPES: CO 10558)

🟒
Initial NPI Registration & Enumeration August 26, 2011

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1255611901
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2011
Last Update: July 21, 2022
Sole Proprietor: Yes

Other Dentists in Nellis Afb

Healthcare providers in Nellis Afb

Mailing Address

4700 Las Vegas Blvd N

Nellis Afb, NV 89191

Phone: 7026532600

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.