Individual provider Active NPI

William Floyd Littlejohn Jr., D.M.D., MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Decatur, AL
National Provider Identifier
1255543161
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
4307 Issued in AL
Practice address
2023 Danville Park Dr SW
Decatur, AL 35603-1833
Phone
(256) 355-8224
Fax
(256) 353-8985
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 4307 AL Primary

Addresses

Primary practice location

2023 Danville Park Dr SW
Decatur, AL 35603-1833

Mailing address

2023 Danville Park Dr SW
Decatur, AL 35603-1833
Phone (256) 355-8224

Other identifiers 1

IdentifierTypeStateIssuer
529700210MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140624001335 AL Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 2062636517

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4307ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Decatur Maxillofacial & Cosmetic Surgery Center 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": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325721600000",
    "number": "1255543161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 DANVILLE PARK DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031833",
            "telephone_number": "256-355-8224",
            "fax_number": "256-353-8985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2023 DANVILLE PARK DR SW",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356031833",
            "telephone_number": "256-355-8224",
            "fax_number": "256-353-8985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITTLEJOHN",
        "first_name": "WILLIAM",
        "middle_name": "FLOYD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D., MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "AL",
            "license": "4307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529700210",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

Verify at the official NPI Registry.