Individual provider Active NPI

William R Ford Jr, MD

  • Specialist
  • Sparks, NV
National Provider Identifier
1326017864
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3300 Issued in NV
Practice address
2345 E Prater Way
Suite 303
Sparks, NV 89434-9600
Phone
(775) 359-5757
Fax
(775) 359-3763
NPI assigned
Mar 16, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3300 NV Primary

Addresses

Primary practice location

2345 E Prater Way
Suite 303
Sparks, NV 89434-9600

Mailing address

2345 E Prater Way
Suite 303
Sparks, NV 89434-9600
Phone (775) 359-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3300NVMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1326017864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "SUITE 303",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-359-5757",
            "fax_number": "775-359-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 E PRATER WAY",
            "address_2": "SUITE 303",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894349600",
            "telephone_number": "775-359-5757",
            "fax_number": "775-359-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORD JR",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NV",
            "license": "3300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.