William Blaine Rudisill, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7027 Issued in NC

Practice address

5803 W Wilkinson Blvd
Belmont, NC 28012-4809

Phone

(704) 825-9991

NPI assigned

Apr 21, 2007

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 NC

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

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

{
    "created_epoch": "1177113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407074081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5803 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124809",
            "telephone_number": "704-825-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5803 W WILKINSON BLVD",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280124809",
            "telephone_number": "704-825-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUDISILL",
        "first_name": "WILLIAM",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tania Joy Romano, LPTA
• Allyson Rooney, PT
• Phillip Jervey Roper, MD
• Erica J Rossi, ERICA ROSSI
• Ashley Helms Rowe, NP
• Santo A Russo, OT
• S&S Consulting Team LLP
• Kaaren S. Sailer, MD
• Robert M. Saltzmann, MD
• Sara E Savino, MAMFC, LCMHC

• General Practice Dentistry in Belmont, NC
• Providers in Belmont, NC by specialty
• General Practice Dentistry in North Carolina

• 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.
• 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.