Individual provider Active NPI

William Andrew Strayhorn, D.D.S.

  • Dentist
  • Rockingham, NC
National Provider Identifier
1215944699
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
8185 Issued in NC
Practice address
120 Mallard LN
Rockingham, NC 28379-5210
Phone
(910) 997-6663
Fax
(910) 997-6664
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 8185 NC Primary

Addresses

Primary practice location

120 Mallard LN
Rockingham, NC 28379-5210

Mailing address

120 Mallard LN
Rockingham, NC 28379-5210
Phone (910) 997-6663

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150623003108 NC Order and Referring Only - DentistPractitioner - Dentist 7315258902

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8185NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Brannon&Alderman PA Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1215944699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MALLARD LN",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795210",
            "telephone_number": "910-997-6663",
            "fax_number": "910-997-6664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MALLARD LN",
            "city": "ROCKINGHAM",
            "state": "NC",
            "postal_code": "283795210",
            "telephone_number": "910-997-6663",
            "fax_number": "910-997-6664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRAYHORN",
        "first_name": "WILLIAM",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NC",
            "license": "8185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockingham, NC

Sources for this page

Verify at the official NPI Registry.