Bob Koenitzer DDS, Inc.
NPI 1063690436ActiveOrganization· Dentist, General Practice· Petaluma, CA
Dentist, General Practice in Petaluma, California, registered in NPPES in February 2008. The authorized official on file is Bob David Koenitzer, DDS, Owner.
Overview
| NPI | 1063690436 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 7, 2008 |
| Last updated in NPPES | Feb 7, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist, General Practice Primary | 1223G0001X | 34624 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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