Individual provider Active NPI

William Zachary Catterton IV, D.D.S.

  • Dentist
  • Cleveland, TN
National Provider Identifier
1215198650
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DS0000008903 Issued in TN
Practice address
430 Stuart Rd NE Ste 2
Cleveland, TN 37312-4993
Phone
(423) 648-4818
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DS0000008903 TN Primary

Addresses

Primary practice location

430 Stuart Rd NE Ste 2
Cleveland, TN 37312-4993

Mailing address

430 Stuart Rd NE Ste 2
Cleveland, TN 37312-4993
Phone (423) 648-4818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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

Enrollment IDStateProvider typePAC IDDetails
I20160318000727 ME Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 3779880703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DS0000008903TNMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1215198650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 STUART RD NE STE 2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124993",
            "telephone_number": "423-648-4818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STUART RD NE STE 2",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373124993",
            "telephone_number": "423-648-4818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATTERTON",
        "first_name": "WILLIAM",
        "middle_name": "ZACHARY",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TN",
            "license": "DS0000008903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

Sources for this page

Verify at the official NPI Registry.