Individual provider Active NPI

William Augustas Cofer, D.M.D.

  • General Practice Dentistry
  • Greer, SC
National Provider Identifier
1437229960
Registry record updated Feb 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1728 Issued in SC
Practice address
215 W Poinsett St
Greer, SC 29650-1945
Phone
(864) 877-1891
Fax
(864) 877-6652
NPI assigned
Nov 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 1728 SC Primary

Addresses

Primary practice location

215 W Poinsett St
Greer, SC 29650-1945

Mailing address

115 Country View Dr
Simpsonville, SC 29681-4916
Phone (864) 238-4738

Other identifiers 1

IdentifierTypeStateIssuer
Z17287MedicaidSC

Other names 1

  • William Augustas Cofer Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20150626000310 SC Order and Referring Only - DentistPractitioner - Dentist 5698086080

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1728SCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William a Cofer General Practice Past 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422921600000",
    "number": "1437229960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 COUNTRY VIEW DR",
            "city": "SIMPSONVILLE",
            "state": "SC",
            "postal_code": "296814916",
            "telephone_number": "864-238-4738",
            "fax_number": "864-297-1136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W POINSETT ST",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296501945",
            "telephone_number": "864-877-1891",
            "fax_number": "864-877-6652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFER",
        "first_name": "WILLIAM",
        "middle_name": "AUGUSTAS",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "SC",
            "license": "1728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Z17287",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "WILLIAM",
            "last_name": "COFER",
            "middle_name": "AUGUSTAS",
            "credential": "DMD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Greer, SC

Sources for this page

Verify at the official NPI Registry.