Active NPI
William T Kane, D.D.S., M.B.A.
- General Practice Dentistry
- Dexter, MO
National Provider Identifier
1831401801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 13323
- Practice address
- 913 W Bus Highway 60
Dexter, MO 63841-2704 - Phone
- (573) 624-7456
- Fax
- (573) 624-5182
- NPI assigned
- Jul 7, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 13323 | MO | Primary |
Addresses
Primary practice location
913 W Bus Highway 60
Dexter, MO 63841-2704
Mailing address
PO Box 246
Dexter, MO 63841-0246
Phone (573) 624-7456
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13323 | Other | MO | STATE LICENSE |
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 Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13323 | MO | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William T. Kane, DDS,Mba,PL | 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.
-
- Dentist
- Dexter, MO
- NPI 1649302019
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1278460800000",
"number": "1831401801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 246",
"city": "DEXTER",
"state": "MO",
"postal_code": "638410246",
"telephone_number": "573-624-7456",
"fax_number": "573-624-5182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "913 W BUS HIGHWAY 60",
"city": "DEXTER",
"state": "MO",
"postal_code": "638412704",
"telephone_number": "573-624-7456",
"fax_number": "573-624-5182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANE",
"first_name": "WILLIAM",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "D.D.S., M.B.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-07",
"last_updated": "2010-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MO",
"license": "13323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "13323",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dexter, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.