Individual provider Active NPI

William S Lenihan III, DDS

  • General Practice Dentistry
  • Oak Ridge, TN
National Provider Identifier
1043227341
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS 003154 Issued in TN
Practice address
400 Laboratory Rd
Suite 104
Oak Ridge, TN 37830-6810
Phone
(865) 482-1731
NPI assigned
Aug 1, 2006
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 DS 003154 TN Primary

Addresses

Primary practice location

400 Laboratory Rd
Suite 104
Oak Ridge, TN 37830-6810

Mailing address

400 Laboratory Rd
Suite 104
Oak Ridge, TN 37830-6810
Phone (865) 482-1731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150616001499 TN Order and Referring Only - Other (Non-Physician) 7012228109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS 003154TNMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043227341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD",
            "address_2": "SUITE 104",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306810",
            "telephone_number": "865-482-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 LABORATORY RD",
            "address_2": "SUITE 104",
            "city": "OAK RIDGE",
            "state": "TN",
            "postal_code": "378306810",
            "telephone_number": "865-482-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENIHAN",
        "first_name": "WILLIAM",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "DS 003154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Ridge, TN

Sources for this page

Verify at the official NPI Registry.