Active NPI
William Travis King, DDS
- General Practice Dentistry
- Springfield, MA
National Provider Identifier
1184156234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN10000688
- Practice address
- 1049 Main St
Springfield, MA 01103-2114 - Phone
- (413) 739-1100
- Fax
- (413) 735-1133
- NPI assigned
- Mar 29, 2017
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN10000688 | MA | Primary |
| General Practice Dentistry | 1223G0001X | 10501 | TN |
Addresses
Primary practice location
1049 Main St
Springfield, MA 01103-2114
Mailing address
1049 Main St
Springfield, MA 01103-2114
Phone (413) 739-1100
Other practice location 1
473 Sumner Ave
Springfield, MA 01108-2321
Phone (413) 739-1100
Other practice location 2
1235 Boston Rd
Springfield, MA 01119-1328
Phone (413) 739-1100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180522001356 | TN | Order and Referring Only - Dentist | 8921363920 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN10000688 | MA | MD | General Practice Dentistry |
| 10501 | TN | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1184156234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100",
"fax_number": "413-735-1133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1049 MAIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011032114",
"telephone_number": "413-739-1100",
"fax_number": "413-735-1133"
}
],
"practiceLocations": [
{
"address_1": "473 Sumner Ave",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011082321",
"country_code": "US",
"telephone_number": "413-739-1100",
"fax_number": "413-304-4666",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1235 Boston Rd",
"address_purpose": "LOCATION",
"city": "Springfield",
"state": "MA",
"postal_code": "011191328",
"country_code": "US",
"telephone_number": "413-739-1100",
"fax_number": "413-731-9919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "WILLIAM",
"middle_name": "TRAVIS",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-03-29",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MA",
"license": "DN10000688",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TN",
"license": "10501",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; 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.