Active NPI
William Lewis Kochenour II, D.D.S.,M.S.,P.A.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clearwater, FL
National Provider Identifier
1558584151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN0008889
- Practice address
- 3005 Enterprise Rd E
Clearwater, FL 33759-1304 - Phone
- (727) 796-2456
- Fax
- (727) 796-8364
- NPI assigned
- Apr 11, 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | DN0008889 | FL | Primary |
Addresses
Primary practice location
3005 Enterprise Rd E
Clearwater, FL 33759-1304
Mailing address
3005 Enterprise Rd E
Clearwater, FL 33759-1304
Phone (727) 796-2456
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
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN0008889 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William L. Kochenour D.D.S.,M.S. | Orthodontics and Dentofacial Orthopedics | 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Clearwater, FL
- NPI 1992020986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1558584151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 ENTERPRISE RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591304",
"telephone_number": "727-796-2456",
"fax_number": "727-796-8364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 ENTERPRISE RD E",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337591304",
"telephone_number": "727-796-2456",
"fax_number": "727-796-8364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOCHENOUR",
"first_name": "WILLIAM",
"middle_name": "LEWIS",
"name_prefix": "Dr.",
"name_suffix": "II",
"credential": "D.D.S.,M.S.,P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "FL",
"license": "DN0008889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
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.