Active NPI
William Harry Koett, DDS
- Dentist
- Folsom, CA
National Provider Identifier
1437365400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- C24564
- Practice address
- 25005 Blue Ravine Rd
Ste 100
Folsom, CA 95630 - Phone
- (916) 984-0515
- NPI assigned
- May 15, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | C24564 | CA | Primary |
Addresses
Primary practice location
25005 Blue Ravine Rd
Ste 100
Folsom, CA 95630
Mailing address
2129 Tarbolton CR
Folsom, CA 95620
Phone (916) 984-0515
Other names 1
- Dr. William H Koett
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C24564 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rolling Hills Clinic | Dentist | 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, 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": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437365400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2129 TARBOLTON CR",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95620",
"telephone_number": "916-984-0515",
"fax_number": "916-817-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25005 BLUE RAVINE RD",
"address_2": "STE 100",
"city": "FOLSOM",
"state": "CA",
"postal_code": "95630",
"telephone_number": "916-984-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOETT",
"first_name": "WILLIAM",
"middle_name": "HARRY",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "C24564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "KOETT",
"middle_name": "H",
"prefix": "DR.",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Folsom, CA
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.