Individual provider Active NPI

William Cory Kaus, DDS

  • Dentist
  • Phoenix, AZ
National Provider Identifier
1871793299
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
D6922 Issued in AZ
Practice address
401 E Bell Rd
Ste. 14
Phoenix, AZ 85022-2300
Phone
(602) 375-8646
Fax
(602) 547-1301
NPI assigned
Jul 24, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X D6922 AZ Primary

Addresses

Primary practice location

401 E Bell Rd
Ste. 14
Phoenix, AZ 85022-2300

Mailing address

9212 W Marconi Ave
Peoria, AZ 85382-3580
Phone (623) 455-9368

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

State licenses

LicenseStateTypeSpecialty
D6922AZMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1871793299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9212 W MARCONI AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853823580",
            "telephone_number": "623-455-9368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E BELL RD",
            "address_2": "STE. 14",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850222300",
            "telephone_number": "602-375-8646",
            "fax_number": "602-547-1301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUS",
        "first_name": "WILLIAM",
        "middle_name": "CORY",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "D6922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.

Verify at the official NPI Registry.