Provider Type Icon

DR. CASEY LEE KOCHEVAR D.D.S. NPI 1558360073


NPI Information

NPI: 1558360073
Provider Name: DR. CASEY LEE KOCHEVAR, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1446 HOVER STREET
SUITE #100
LONGMONT, CO
ZIP 80501
Phone: (303) 684-9777
Get Directions

DR. Casey Lee Kochevar, D.D.S. is a general practice dentist in Longmont, CO. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Casey Lee Kochevar, D.D.S. NPI is 1558360073. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1446 HOVER STREET
SUITE #100
LONGMONT, CO
ZIP 80501
Phone: (303) 684-9777
Fax: (720) 306-3517

The enumeration date for this NPI number is 7/18/2005 and was last updated on 8/31/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223D0001XDentistDental Public Health8471COLORADONo
21223G0001XDentistGeneral Practice8471COLORADONo
31223G0001XDentistGeneral Practice8471COCOLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
196800241MEDICAIDCOLORADO
278271045MEDICAIDCOLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.