Individual provider Active NPI

William Paul Alexander, DDS

  • Pediatric Dentistry
  • Clinton, UT
National Provider Identifier
1427434232
Registry record updated May 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9401146-9924 Issued in UT
Practice address
1737 N 2000 W Ste G
Clinton, UT 84015-8215
Phone
(801) 728-9000
NPI assigned
Aug 4, 2015
Last updated
May 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry 1223P0221X 2432 ND
Pediatric Dentistry 1223P0221X 9401146-9924 UT Primary

Addresses

Primary practice location

1737 N 2000 W Ste G
Clinton, UT 84015-8215

Mailing address

1737 N 2000 W Ste G
Clinton, UT 84015-8215
Phone (801) 728-9000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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

Enrollment IDStateProvider typePAC IDDetails
I20191211003112 WA Order and Referring Only - DentistPractitioner - Dentist 3173956703

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2432NDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
United States Navy Past Accepting new patients
MC Dental Corporation, PC PastSince Jun 1, 2021 Accepting new patients
William H. Maisey Dentist P.C. Dentist PastSince Jun 1, 2021 Accepting new patients
Clinton Dental Group, LLP PastSince May 12, 2024 Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1438646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715385600000",
    "number": "1427434232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1737 N 2000 W STE G",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158215",
            "telephone_number": "801-728-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1737 N 2000 W STE G",
            "city": "CLINTON",
            "state": "UT",
            "postal_code": "840158215",
            "telephone_number": "801-728-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-04",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "ND",
            "license": "2432",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "UT",
            "license": "9401146-9924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, UT

Sources for this page

Verify at the official NPI Registry.