NPIMap

Organization Active NPI

Kochenderfer Family Dentistry, PLC

  • Dental Clinic/Center
  • Plymouth, MN
National Provider Identifier
1982032157
Registry record updated Oct 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
D10802, D10868 Issued in MN
Legal business name
KOCHENDERFER FAMILY DENTISTRY, PLC
Practice address
10906 S Shore Dr
Plymouth, MN 55441-4919
Phone
(763) 545-1837
NPI assigned
Oct 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2013

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

Authorized official

Name
Dr. Robert L Kochenderfer, D.D.S.NPI 1487786240
Title
Dentist/Co-Owner
Phone
(763) 545-1837

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X D10802, D10868 MN Primary

Addresses

Primary practice location

10906 S Shore Dr
Plymouth, MN 55441-4919

Mailing address

10906 S Shore Dr
Plymouth, MN 55441-4919
Phone (763) 545-1837

National Provider Directory

National Provider Directory

Locations

10906 S Shore Dr
Plymouth, MN 55441
Phone (763) 545-1837

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1382572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382572800000",
    "number": "1982032157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10906 S SHORE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414919",
            "telephone_number": "763-545-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10906 S SHORE DR",
            "city": "PLYMOUTH",
            "state": "MN",
            "postal_code": "554414919",
            "telephone_number": "763-545-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOCHENDERFER FAMILY DENTISTRY, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-24",
        "last_updated": "2013-10-24",
        "status": "A",
        "authorized_official_last_name": "KOCHENDERFER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DENTIST/CO-OWNER",
        "authorized_official_telephone_number": "763-545-1837",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "MN",
            "license": "D10802, D10868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2013; 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.