Active NPI
William C Bigelow, D.D.S., PC
- Oral and Maxillofacial Surgery (Dentist)
- Staunton, VA
National Provider Identifier
1235453457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- 0438000074
- Legal business name
- WILLIAM C BIGELOW, D.D.S., PC
- Practice address
- 110 Mactanly PL Ste C
Staunton, VA 24401-2362 - Phone
- (540) 213-8750
- Fax
- (540) 213-8753
- NPI assigned
- Mar 17, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William C Bigelow, D.D.S.
- Title
- Owner
- Phone
- (540) 213-8750
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 0438000074 | VA | Primary |
Addresses
Primary practice location
110 Mactanly PL Ste C
Staunton, VA 24401-2362
Mailing address
110 Mactanly PL Ste C
Staunton, VA 24401-2362
Phone (540) 213-8750
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1998563 | Medicaid | VA |
National Provider Directory
National Provider DirectoryLocations
110 Mactanly Pl
Ste C
Staunton, VA 24401
Phone (540) 213-8750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268784000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1268784000000",
"number": "1235453457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 MACTANLY PL STE C",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012362",
"telephone_number": "540-213-8750",
"fax_number": "540-213-8753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 MACTANLY PL STE C",
"city": "STAUNTON",
"state": "VA",
"postal_code": "244012362",
"telephone_number": "540-213-8750",
"fax_number": "540-213-8753"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM C BIGELOW, D.D.S., PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-17",
"last_updated": "2010-03-17",
"status": "A",
"authorized_official_last_name": "BIGELOW",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-213-8750",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.D.S."
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "VA",
"license": "0438000074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1998563",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Staunton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.