William Earl Lacey Jr., DMD

Primary specialty

DentistTaxonomy code 122300000X

License

8056 Issued in CO

Practice address

2977 Main Ave Ste B
Durango, CO 81301-4332

Phone

(970) 375-7671

Fax

(970) 247-8988

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Wilson Family Dentistry PC

  dba Richard L Wilson DDS

  • Dental Clinic/Center
  • Durango, CO
  • NPI 1669548319
  NPD (past)

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717027200000",
    "number": "1265463673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2977 MAIN AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014332",
            "telephone_number": "970-375-7671",
            "fax_number": "970-375-1239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2977 MAIN AVE STE B",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813014332",
            "telephone_number": "970-375-7671",
            "fax_number": "970-247-8988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "WILLIAM",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "8056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• La Plata Family Medicine Assoc PC
• La Plata Physical Medicine PC
• Clayton Thomas Labaume, PA
• Laboratory Corporation of America
• Laboratory Corporation of America
• Ginny Ann Laidler, RN
• Kayse Lee Lake, DPM
• Susan D Lake, RN
• Tierney A Lake, MD
• Margaret Landrum

• Dentist in Durango, CO
• Providers in Durango, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; 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.

Verify at the official NPI Registry.