DR. KEVIN O WALTROUS DMD
NPI 1558439307
Dentist - General Practice in Rockaway Park, NY

Active since December 01, 2006
11404 BEACH CHANNEL DR, ROCKAWAY PARK, NY 11694(718) 346-4848 Get Directions Write a Review

NPPES record last updated: March 3, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Dr. Kevin O Waltrous Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KEVIN O WALTROUS DMD (NPI 1558439307) is an individual general practice provider in Rockaway Park, New York, licensed in New York (053124) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1558439307
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. KEVIN O WALTROUSCredential: DMD
Location Address11404 BEACH CHANNEL DRRockaway Park, NY 11694-2211
Mailing Address3046 Brighton Third StBrooklyn, NY 11235-7409
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateMarch 3, 2025
NPPES CertifiedMarch 3, 2025
NPI 1558439307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 053124
Definition
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.
11404 BEACH CHANNEL DR, Rockaway Park, NY 11694

Accepted Insurance

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694
Physical Therapist
11404 BEACH CHANNEL DR
FAR ROCKAWAY, NY 11694
Radiology (Diagnostic Radiology)
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694
Dentist (General Practice)
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694
Dentist (Prosthodontics)
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694
Driver
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694
Clinic/Center (Radiology)
11404 BEACH CHANNEL DR
ROCKAWAY PARK, NY 11694

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Waltrous's NPI number?

The NPI number for Kevin Waltrous is 1558439307. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Kevin Waltrous located?

Kevin Waltrous practices at 11404 Beach Channel Dr, Rockaway Park, NY 11694. The listed phone number is (718) 346-4848.

What is Kevin Waltrous's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Kevin Waltrous accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Kevin Waltrous as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kevin Waltrous was last updated on March 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.