Individual provider Active NPI

William S Kachele Jr., D.M.D

  • Dentist
  • San Marcos, CA
National Provider Identifier
1316308117
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
034858 Issued in CA
Practice address
751 Rancheros Dr
Suite 3
San Marcos, CA 92069-3041
Phone
(760) 471-7115
NPI assigned
Mar 8, 2016
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 034858 CA Primary

Addresses

Primary practice location

751 Rancheros Dr
Suite 3
San Marcos, CA 92069-3041

Mailing address

751 Rancheros Dr
Suite 3
San Marcos, CA 92069-3041
Phone (760) 471-7115

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190628001912 CA Practitioner - DentistPractitioner - Oral Surgery 4981938636 Practice locations: San Marcos, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
034858CAMDDentist
34858CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr William S Kachele Jr DMD PastSince Jul 1, 2019 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1316308117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "751 RANCHEROS DR",
            "address_2": "SUITE 3",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693041",
            "telephone_number": "760-471-7115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 RANCHEROS DR",
            "address_2": "SUITE 3",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920693041",
            "telephone_number": "760-471-7115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHELE",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "034858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.