NPIMap

Organization Active NPI

William J Waddell DDS

Doing business as Powell Family & Cosmetic Dentistry/William J Waddell & Assoc

  • Dentist
  • Powell, OH
National Provider Identifier
1053414409
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
WILLIAM J WADDELL DDS
Doing business as
Powell Family & Cosmetic Dentistry/William J Waddell & Assoc
Practice address
9973 Sawmill Parkway
C
Powell, OH 43065-7571
Phone
(614) 764-1013
Fax
(614) 764-0174
NPI assigned
Sep 7, 2006
Last updated
Oct 5, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Dr. William John Waddell, DDSNPI 1093898785
Title
President
Phone
(614) 764-1013

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

9973 Sawmill Parkway
C
Powell, OH 43065-7571

Mailing address

9973 Sawmill Parkway
C
Powell, OH 43065-7571
Phone (614) 764-1013

Other names 1

  • Powell Family & Cosmetic Dentistry/William J Waddell & Assoc Doing business as

National Provider Directory

National Provider Directory

Locations

9973 Sawmill Pkwy
C
Powell, OH 43065
Phone (614) 764-1013

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1053414409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9973 SAWMILL PARKWAY",
            "address_2": "C",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657571",
            "telephone_number": "614-764-1013",
            "fax_number": "614-764-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9973 SAWMILL PARKWAY",
            "address_2": "C",
            "city": "POWELL",
            "state": "OH",
            "postal_code": "430657571",
            "telephone_number": "614-764-1013",
            "fax_number": "614-764-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J WADDELL DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "WADDELL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "614-764-1013",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Powell Family & Cosmetic Dentistry/William J Waddell & Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Powell, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.