Individual provider Active NPI

Dennis R Cocayne, DDS

  • Oral and Maxillofacial Surgery (Dentist)
  • St. Charles, MO
National Provider Identifier
1962517532
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
012069 Issued in MO
Practice address
2745 W Clay
Ste a
St. Charles, MO 63301
Phone
(636) 723-5882
Fax
(636) 723-5889
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 012069 MO Primary

Addresses

Primary practice location

2745 W Clay
Ste a
St. Charles, MO 63301

Mailing address

2745 W Clay
Ste a
St. Charles, MO 63301
Phone (636) 723-5882

Other names 1

  • Dr. Dennis R Cocayne Professional name

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
012069MOMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962517532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2745 W CLAY",
            "address_2": "STE A",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-723-5882",
            "fax_number": "636-723-5889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2745 W CLAY",
            "address_2": "STE A",
            "city": "ST. CHARLES",
            "state": "MO",
            "postal_code": "63301",
            "telephone_number": "636-723-5882",
            "fax_number": "636-723-5889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCAYNE",
        "first_name": "DENNIS",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "MO",
            "license": "012069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "COCAYNE",
            "middle_name": "R",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St. Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.