Organization Active NPI

William L. Kochenour D.D.S.,M.S.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Clearwater, FL
National Provider Identifier
1992020986
Registry record updated Apr 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN0008889 Issued in FL
Legal business name
WILLIAM L. KOCHENOUR D.D.S.,M.S.
Practice address
3005 Enterprise Rd E
Clearwater, FL 33759-1304
Phone
(727) 796-2456
Fax
(727) 796-8364
NPI assigned
Apr 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2010

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

Authorized official

Name
Dr. William L Kochenour, D.D.S.,M.S.NPI 1558584151
Title
Owner/Orthodontist
Phone
(727) 796-2456

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223P0221X DN13311 FL
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223X0400X DN0008889 FL Primary

Addresses

Primary practice location

3005 Enterprise Rd E
Clearwater, FL 33759-1304

Mailing address

3005 Enterprise Rd E
Clearwater, FL 33759-1304
Phone (727) 796-2456

Other identifiers 1

IdentifierTypeStateIssuer
072684200-FLMedicaidFL

National Provider Directory

National Provider Directory

Locations

3005 Enterprise Rd E
Clearwater, FL 33759
Phone (727) 789-6347

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": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1992020986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3005 ENTERPRISE RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591304",
            "telephone_number": "727-796-2456",
            "fax_number": "727-796-8364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3005 ENTERPRISE RD E",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337591304",
            "telephone_number": "727-796-2456",
            "fax_number": "727-796-8364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM L. KOCHENOUR D.D.S.,M.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "KOCHENOUR",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ORTHODONTIST",
        "authorized_official_telephone_number": "727-796-2456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S.,M.S."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "FL",
            "license": "DN13311",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN0008889",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "072684200-FL",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.