Individual provider Active NPI

William Nick Halkias, D.D.S.

  • Dentist
  • Union, NJ
National Provider Identifier
1003950486
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
14886 Issued in NJ
Practice address
1999 Morris Ave
Union, NJ 07083-3504
Phone
(908) 687-6060
Fax
(908) 687-6060
NPI assigned
Feb 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 14886 NJ Primary

Addresses

Primary practice location

1999 Morris Ave
Union, NJ 07083-3504

Mailing address

1999 Morris Ave
Union, NJ 07083-3504
Phone (908) 687-6060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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

Enrollment IDStateProvider typePAC IDDetails
I20150706001182 NJ Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3072825082

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14886NJMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003950486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1999 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833504",
            "telephone_number": "908-687-6060",
            "fax_number": "908-687-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1999 MORRIS AVE",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070833504",
            "telephone_number": "908-687-6060",
            "fax_number": "908-687-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALKIAS",
        "first_name": "WILLIAM",
        "middle_name": "NICK",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "14886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

Verify at the official NPI Registry.