Individual provider Active NPI

William T Kane, D.D.S., M.B.A.

  • General Practice Dentistry
  • Dexter, MO
National Provider Identifier
1831401801
Registry record updated Jul 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
13323 Issued in MO
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

Updated by the provider on Jul 7, 2010

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 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

IdentifierTypeStateIssuer
13323OtherMOSTATE 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

LicenseStateTypeSpecialty
13323MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.