Individual provider Active NPI

Dennis T Kochem Sr.

  • Orthotic Fitter
  • Hamilton, NY
National Provider Identifier
1174635270
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthotic FitterTaxonomy code 225000000X
Practice address
2409 Johnnycake Hill Rd.
Hamilton, NY 13346
Phone
(315) 824-4515
Fax
(315) 824-4515
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthotic Fitter 225000000X Primary

Addresses

Primary practice location

2409 Johnnycake Hill Rd.
Hamilton, NY 13346

Mailing address

2409 Johnnycake Hill Rd.
Hamilton, NY 13346
Phone (315) 824-4515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174635270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 JOHNNYCAKE HILL RD.",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "13346",
            "telephone_number": "315-824-4515",
            "fax_number": "315-824-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 JOHNNYCAKE HILL RD.",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "13346",
            "telephone_number": "315-824-4515",
            "fax_number": "315-824-4515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCHEM",
        "first_name": "DENNIS",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225000000X",
            "taxonomy_group": "",
            "desc": "Orthotic Fitter",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.