Active NPI
William E. McNerney, D.D.S.
- General Practice Dentistry
- Crystal Lake, IL
National Provider Identifier
1235205550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Practice address
- 300 Memorial Dr Ste 400
Crystal Lake, IL 60014-6273 - Phone
- (815) 459-8127
- Fax
- (815) 459-8427
- NPI assigned
- Nov 28, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | IL | Primary |
Addresses
Primary practice location
300 Memorial Dr Ste 400
Crystal Lake, IL 60014-6273
Mailing address
300 Memorial Dr Ste 400
Crystal Lake, IL 60014-6273
Phone (815) 459-8127
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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 |
|---|---|---|---|---|
| I20150417000972 | IL | Order and Referring Only - Oral Surgery | 7719205038 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 019-019557 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Office 300 Memorial Drive LLC | General Practice | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Practice Dentistry
- Crystal Lake, IL
- NPI 1669548830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1235205550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEMORIAL DR STE 400",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146273",
"telephone_number": "815-459-8127",
"fax_number": "815-459-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEMORIAL DR STE 400",
"city": "CRYSTAL LAKE",
"state": "IL",
"postal_code": "600146273",
"telephone_number": "815-459-8127",
"fax_number": "815-459-8427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNERNEY",
"first_name": "WILLIAM",
"middle_name": "E.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crystal Lake, IL
- McHenry County Orthopaedics, S.C.
- McKim Family Chiropractic SC
- Mark Joseph McKim, D.C.
- Helenn McManaman, MS, NCC, LPC, PSY. D
- Leann McMonigal, STUDENT CNS
- Margaret Louise McPherson, PT
- Colleen McShane, MS
- Nicollette Mebust
- Medical World Home Health Care and Ostomy Center Inc
- Medicinal Chiropractic LLC
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.