William L Ott I, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14641 Issued in FL

Practice address

516 N Macarthur Ave
Panama City, FL 32401-3636

Phone

(850) 763-5817

Fax

(850) 763-0733

NPI assigned

May 24, 2005

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Mar 4, 2016 through Mar 4, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Panhandle Dental Care, PA

  • General Practice Dentistry
  • Panama City, FL
  • NPI 1366502999
  NPD (past) Authorized official

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

{
    "created_epoch": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083617757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-763-5817",
            "fax_number": "850-763-0733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N MACARTHUR AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324013636",
            "telephone_number": "850-763-5817",
            "fax_number": "850-763-0733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTT",
        "first_name": "WILLIAM",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "name_suffix": "I",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "14641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ortega Pulmonary Associates PA (Pulmonary Associates of Bay County PA)
• Orthoclinic, Inc.
• Orthopaedic Associates PA
• Osama Elshazly MD PA
• Mary Kathryn Osborne, M.D.
• Eman K Ottallah, DMD
• Kimberly Outlaw-Clark
• Gloria Outlaw, D.C.
• James Lane Overman, PA
• Pamela Ann Overmyer, MD

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.