Individual provider Active NPI

William Scott Van Noy, D.D.S.

  • General Practice Dentistry
  • Scottsbluff, NE
National Provider Identifier
1124237789
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
4782 Issued in NE
Practice address
211 W 38TH St
Scottsbluff, NE 69361-4626
Phone
(308) 632-7777
Fax
(308) 632-7776
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 4782 NE Primary

Addresses

Primary practice location

211 W 38TH St
Scottsbluff, NE 69361-4626

Mailing address

211 W 38TH St
Scottsbluff, NE 69361-4626
Phone (308) 632-7777

Other identifiers 1

IdentifierTypeStateIssuer
47-0633424-00MedicaidNE

Medicare participation

Medicare enrollment files
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 Nov 13, 2015 through Nov 13, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4782NEMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1124237789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614626",
            "telephone_number": "308-632-7777",
            "fax_number": "308-632-7776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 W 38TH ST",
            "city": "SCOTTSBLUFF",
            "state": "NE",
            "postal_code": "693614626",
            "telephone_number": "308-632-7777",
            "fax_number": "308-632-7776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN NOY",
        "first_name": "WILLIAM",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NE",
            "license": "4782",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "47-0633424-00",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsbluff, NE

Sources for this page

Verify at the official NPI Registry.