Individual provider Active NPI

William Edward Mills, DDS

  • Dentist
  • Canal Winchester, OH
National Provider Identifier
1023172574
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
30013716 Issued in OH
Practice address
11 North High Street
Canal Winchester, OH 43110
Phone
(614) 837-9547
Fax
(614) 833-0184
NPI assigned
Dec 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 30013716 OH Primary

Addresses

Primary practice location

11 North High Street
Canal Winchester, OH 43110

Mailing address

11 North High Street
Canal Winchester, OH 43110
Phone (614) 837-9547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20160330002576 OH Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3971800293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
30013716OHMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023172574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTH HIGH STREET",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "43110",
            "telephone_number": "614-837-9547",
            "fax_number": "614-833-0184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 NORTH HIGH STREET",
            "city": "CANAL WINCHESTER",
            "state": "OH",
            "postal_code": "43110",
            "telephone_number": "614-837-9547",
            "fax_number": "614-833-0184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLS",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "30013716",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canal Winchester, OH

Sources for this page

Verify at the official NPI Registry.