Active NPI
David E. Willey, D.M.D.
- Dentist
- Sebring, FL
National Provider Identifier
1407060528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DN00011175
- Practice address
- 4741 Lakeview Dr
Sebring, FL 33870-2064 - Phone
- (863) 382-7676
- Fax
- (863) 382-9940
- NPI assigned
- May 9, 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 |
|---|---|---|---|---|
| Dentist | 122300000X | DN00011175 | FL | Primary |
Addresses
Primary practice location
4741 Lakeview Dr
Sebring, FL 33870-2064
Mailing address
4741 Lakeview Dr
Sebring, FL 33870-2064
Phone (863) 382-7676
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 |
|---|---|---|---|
| DN00011175 | FL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1407060528",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4741 LAKEVIEW DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702064",
"telephone_number": "863-382-7676",
"fax_number": "863-382-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4741 LAKEVIEW DR",
"city": "SEBRING",
"state": "FL",
"postal_code": "338702064",
"telephone_number": "863-382-7676",
"fax_number": "863-382-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLEY",
"first_name": "DAVID",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "D.M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-09",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "FL",
"license": "DN00011175",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sebring, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.