Active NPI
William George Halliday III, D.D.S.
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1336338987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7424
- Practice address
- 4910 E Greenway Rd
#7
Scottsdale, AZ 85254-1653 - Phone
- (602) 992-2996
- NPI assigned
- Oct 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 7424 | AZ | Primary |
Addresses
Primary practice location
4910 E Greenway Rd
#7
Scottsdale, AZ 85254-1653
Mailing address
4910 E Greenway Rd
#7
Scottsdale, AZ 85254-1653
Phone (602) 992-2996
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7424 | AZ | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331078400000",
"number": "1336338987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4910 E GREENWAY RD",
"address_2": "#7",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541653",
"telephone_number": "602-992-2996"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 E GREENWAY RD",
"address_2": "#7",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852541653",
"telephone_number": "602-992-2996"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALLIDAY",
"first_name": "WILLIAM",
"middle_name": "GEORGE",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-19",
"last_updated": "2012-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AZ",
"license": "7424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsdale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.