William B Bohannan, D.D.S., M.D.

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

A64471 Issued in CA

Practice address

1750 El Camino Real
Suite 403
Burlingame, CA 94010-3228

Phone

(650) 692-1530

Fax

(650) 692-2655

NPI assigned

Dec 11, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bohannan Dental Corporation

  • Oral and Maxillofacial Surgery Clinic/Center
  • San Jose, CA
  • NPI 1558422725
  NPD (past) Authorized official
• William B. Bohannan DDS, MD, PC

  • Oral and Maxillofacial Surgery Clinic/Center
  • Burlingame, CA
  • NPI 1669533832
  NPD (past) Authorized official
• University Health Physicians

  • Internal Medicine Physician
  • Kansas City, MO
  • NPI 1669456257

  Oral & Maxillofacial Surgery

  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1013077239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 403",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "94010",
            "telephone_number": "650-692-1530",
            "fax_number": "650-692-2655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 EL CAMINO REAL",
            "address_2": "SUITE 403",
            "city": "BURLINGAME",
            "state": "CA",
            "postal_code": "940103228",
            "telephone_number": "650-692-1530",
            "fax_number": "650-692-2655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOHANNAN",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "D.D.S., M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "A64471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anika Anil Bockman, LMFT
• Sweta Bodepudi, MD
• Sami H Bogale, M.D.
• Lawrence Bogatz, LCSW
• Jennifer Bohannan
• Deborah Bolin, RAS
• Michael Nicholas Bonar, LCSW
• Simone Ava Bordegaray I
• Christina Borello, NP
• Nahid Boroumand, LMFT MFT

• Oral and Maxillofacial Surgery (Dentist) in Burlingame, CA
• Providers in Burlingame, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.