Individual provider Active NPI

William Jouette Tapp III, D.D.S.

  • General Practice Dentistry
  • Garner, NC
National Provider Identifier
1063597474
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4259 Issued in NC
Practice address
1018 Hwy 70 West
Garner, NC 27529-2562
Phone
(919) 779-2609
Fax
(919) 779-4451
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4259 NC Primary
General Practice Dentistry 1223G0001X 2324 WV

Addresses

Primary practice location

1018 Hwy 70 West
Garner, NC 27529-2562

Mailing address

1018 Hwy 70 West
Garner, NC 27529-2562
Phone (919) 779-2609

Other identifiers 3

IdentifierTypeStateIssuer
98256OtherNCBLUE CROSS & BLUE SHILD
2324OtherWVDENTAL LIC. NUMBER
4259OtherNCDENTAL LIC. NUMBER

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

LicenseStateTypeSpecialty
4259NCMDGeneral Practice Dentistry
2324WVMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063597474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 HWY 70 WEST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292562",
            "telephone_number": "919-779-2609",
            "fax_number": "919-779-4451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 HWY 70 WEST",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275292562",
            "telephone_number": "919-779-2609",
            "fax_number": "919-779-4451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAPP",
        "first_name": "WILLIAM",
        "middle_name": "JOUETTE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "4259",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WV",
            "license": "2324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHILD",
            "identifier": "98256",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC. NUMBER",
            "identifier": "2324",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL LIC. NUMBER",
            "identifier": "4259",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.