Organization Active NPI

William C Bigelow, D.D.S., PC

  • Oral and Maxillofacial Surgery (Dentist)
  • Staunton, VA
National Provider Identifier
1235453457
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
0438000074 Issued in VA
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

Updated by the provider on Mar 17, 2010

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)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1998563MedicaidVA

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.