William R Koenig, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

30013907 Issued in OH

Practice address

1701 Mentor Ave Ste 12
Painesville, OH 44077-1459

Phone

(440) 352-3223

NPI assigned

Nov 26, 2013

Last updated

Nov 26, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• William R Koenig DDS Inc

  dba Dr William R Koenig

  • Dentist
  • Painesville, OH
  • NPI 1568560415
  NPD (past) Authorized official

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1346670460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 AUGUSTA LN",
            "city": "CONCORD TWP",
            "state": "OH",
            "postal_code": "440779193",
            "telephone_number": "440-352-7425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MENTOR AVE STE 12",
            "city": "PAINESVILLE",
            "state": "OH",
            "postal_code": "440771459",
            "telephone_number": "440-352-3223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIG",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30013907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Malvina King
• Brandon Kizer, QHMS
• Senta Loree Kline, LSW
• Joan Louise Knerr, COTA/L
• Bliss Knight
• Rachel Koprivnak, SLP
• Margaret M Kost, M.A.
• Laureen Kozan
• John Kozelj, LISW-S
• Lori A. Krebs, PT

• Dentist in Painesville, OH
• Providers in Painesville, OH by specialty
• Dentist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.