Individual provider Active NPI

William Richard Knoderer, M.D. , D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Rockwall, TX
National Provider Identifier
1649212168
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
11461 Issued in TX
Practice address
2014 S Goliad St
Ste 122
Rockwall, TX 75087-4863
Phone
(972) 722-5596
Fax
(469) 698-9804
NPI assigned
Jun 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 7885 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 11461 TX Primary

Addresses

Primary practice location

2014 S Goliad St
Ste 122
Rockwall, TX 75087-4863

Mailing address

PO Box 222
Caddo Mills, TX 75135-0222
Phone (972) 772-5596

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
11461TXMDChiropractor
7885TXMDChiropractor
7887TXMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1149984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1649212168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 222",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751350222",
            "telephone_number": "972-772-5596",
            "fax_number": "469-698-9804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 S GOLIAD ST",
            "address_2": "STE 122",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750874863",
            "telephone_number": "972-722-5596",
            "fax_number": "469-698-9804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNODERER",
        "first_name": "WILLIAM",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D. , D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "TX",
            "license": "7885",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "11461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.