Charles William Kohout, DDS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

034924 Issued in NY

Practice address

6636 Main St
Suite5
Williamsville, NY 14221-5967

Phone

(716) 633-4747

Fax

(716) 633-0328

NPI assigned

Nov 9, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• DRS. Patrignani and Kohout, DDS, PC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Williamsville, NY
  • NPI 1679785703
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972673598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6636 MAIN ST",
            "address_2": "SUITE5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215967",
            "telephone_number": "716-633-4747",
            "fax_number": "716-633-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6636 MAIN ST",
            "address_2": "SUITE5",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215967",
            "telephone_number": "716-633-4747",
            "fax_number": "716-633-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHOUT",
        "first_name": "CHARLES",
        "middle_name": "WILLIAM",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "NY",
            "license": "034924",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01992378",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Halley Koehler, RN
• Marlon R Koenigsberg, PHD
• Alicia Kohlhagen, LCSW-R
• Nivedita Kohli, R.PH
• Rakhi Kohli
• Natalie Kokotow, O.D.
• Bernard James Kolber, D.D.S.
• Elizabeth Anne Kolby, R,D,
• Christopher Kolin
• Sara Kolipinski

• Orthodontics and Dentofacial Orthopedics Dentistry in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in New York

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.