William Joseph Kottemann, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

8583 Issued in MN

Practice address

13998 Maple Knoll Way Ste 102
Maple Grove, MN 55369-7004

Phone

(763) 420-6834

Fax

(763) 420-5642

NPI assigned

Oct 19, 2011

Last updated

Oct 19, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Kottemann Orthodontics PA

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Maple Grove, MN
  • NPI 1265535868
  NPD (past) Authorized official

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

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318982400000",
    "number": "1841575057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 PARTENWOOD RD",
            "city": "ORONO",
            "state": "MN",
            "postal_code": "553569802",
            "telephone_number": "952-471-7485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13998 MAPLE KNOLL WAY STE 102",
            "city": "MAPLE GROVE",
            "state": "MN",
            "postal_code": "553697004",
            "telephone_number": "763-420-6834",
            "fax_number": "763-420-5642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTTEMANN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "DDS, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-10-19",
        "last_updated": "2011-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "8583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kostreba, PA-C
• Nora Caroline Kotlowski
• Lawrence Joseph Kotok, DDS
• Kottemann Orthodontics PA
• Scott Kottemann
• Amos Koukou, MSW, LGSW
• Courtney Lynn Kovacs, DPT
• Joshua Kovalik
• Dillan Thomas Kovash, PT, DPT
• Nicole Elizabeth Kowalkowski

• Orthodontics and Dentofacial Orthopedics Dentistry in Maple Grove, MN
• Providers in Maple Grove, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.