Individual provider Active NPI

William Rogers Plaster, D.D.S.

  • General Practice Dentistry
  • Shelby, NC
National Provider Identifier
1013133156
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
NC6712 Issued in NC
Practice address
1455 E Marion St
Suite F
Shelby, NC 28150-4985
Phone
(704) 487-7391
Fax
(704) 487-7391
NPI assigned
Apr 17, 2007
Sex
Male
Sole proprietor
Yes

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
General Practice Dentistry 1223G0001X NC6712 NC Primary

Addresses

Primary practice location

1455 E Marion St
Suite F
Shelby, NC 28150-4985

Mailing address

1455 E Marion St
Suite F
Shelby, NC 28150-4985
Phone (704) 487-7391

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20160330001707 NC Order and Referring Only - DentistPractitioner - Dentist 2466759865

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6712NCMDSchool Psychologist
NC6712NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William R. Plaster, DDS, PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013133156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1455 E MARION ST",
            "address_2": "SUITE F",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504985",
            "telephone_number": "704-487-7391",
            "fax_number": "704-487-7391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 E MARION ST",
            "address_2": "SUITE F",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504985",
            "telephone_number": "704-487-7391",
            "fax_number": "704-487-7391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLASTER",
        "first_name": "WILLIAM",
        "middle_name": "ROGERS",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "NC6712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.