William Ballard Faulkner III, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5068 Issued in KY

Practice address

210 E Pike St
Cynthiana, KY 41031-1554

Phone

(859) 234-1465

Fax

(859) 234-1565

NPI assigned

Sep 2, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063514792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E PIKE ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311554",
            "telephone_number": "859-234-1465",
            "fax_number": "859-234-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E PIKE ST",
            "city": "CYNTHIANA",
            "state": "KY",
            "postal_code": "410311554",
            "telephone_number": "859-234-1465",
            "fax_number": "859-234-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAULKNER",
        "first_name": "WILLIAM",
        "middle_name": "BALLARD",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KY",
            "license": "5068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dwight E Lewis, MD, PSC
• Eastside Pharmacy of Cynthiana, Inc
• Edgemont Healthcare, Inc.
• Edgemont Manor
• Family Care Associates, PSC
• FDC Cynthiana LLC (Friendly Dental Co)
• Aaron Michael Ferda, M.D.
• David Royce Ferguson, D.C.
• Chassity Shantel Fields, D.C
• Dawne M Fink, PTA

• General Practice Dentistry in Cynthiana, KY
• Providers in Cynthiana, KY by specialty
• General Practice Dentistry in Kentucky

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.