Individual provider Active NPI

William Joseph Jamieson, D.M.D

  • Pediatric Dentistry
  • Dunwoody, GA
National Provider Identifier
1336539501
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
DN012732 Issued in GA
Practice address
4721 Chamblee Dunwoody Rd
Suite 100
Dunwoody, GA 30338-6000
Phone
(770) 394-0001
Fax
(770) 394-9242
NPI assigned
Jan 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X DN012732 GA Primary

Addresses

Primary practice location

4721 Chamblee Dunwoody Rd
Suite 100
Dunwoody, GA 30338-6000

Mailing address

4721 Chamblee Dunwoody Rd
Suite 100
Dunwoody, GA 30338-6000
Phone (770) 394-0001

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

LicenseStateTypeSpecialty
DN012732GAMDPediatric Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
William J. Jamieson, D.M.D,P.C. Pediatric Dentistry 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": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422316800000",
    "number": "1336539501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4721 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386000",
            "telephone_number": "770-394-0001",
            "fax_number": "770-394-9242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4721 CHAMBLEE DUNWOODY RD",
            "address_2": "SUITE 100",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303386000",
            "telephone_number": "770-394-0001",
            "fax_number": "770-394-9242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMIESON",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-27",
        "last_updated": "2015-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "GA",
            "license": "DN012732",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.