Active NPI
William Savage, DDS
- Dentist
- Fargo, ND
National Provider Identifier
1053480277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 1671
- Practice address
- 306 4TH St N
Fargo, ND 58102-4820 - Phone
- (701) 239-7111
- NPI assigned
- Nov 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | D11613 | MN | |
| Dentist | 122300000X | 1671 | ND | Primary |
Addresses
Primary practice location
306 4TH St N
Fargo, ND 58102-4820
Mailing address
PO Box 2625
Fargo, ND 58108-2625
Phone (701) 239-7111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41207 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1671 | ND | MD | Addiction (Substance Use Disorder) Counselor |
| D11613 | MN | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of North Dakota | Past | Accepting new patients | |
| Family Health Care Center | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Clinic/Center
- Grand Forks, ND
- NPI 1952969099
-
- Federally Qualified Health Center (FQHC)
- Moorhead, MN
- NPI 1992559645
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053480277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2625",
"city": "FARGO",
"state": "ND",
"postal_code": "581082625",
"telephone_number": "701-239-7111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "306 4TH ST N",
"city": "FARGO",
"state": "ND",
"postal_code": "581024820",
"telephone_number": "701-239-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAVAGE",
"first_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "MN",
"license": "D11613",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "ND",
"license": "1671",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "41207",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fargo, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.