Individual provider Active NPI

William Lacroix Hoolihan, DDS

  • General Practice Dentistry
  • Blythe, CA
National Provider Identifier
1457371601
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
51392 Issued in CA
Practice address
1415 W Hobsonway
Blythe, CA 92225-1479
Phone
(760) 922-4981
NPI assigned
Jul 20, 2006
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 51392 MN
General Practice Dentistry 1223G0001X 51392 CA Primary

Addresses

Primary practice location

1415 W Hobsonway
Blythe, CA 92225-1479

Mailing address

1415 W Hobsonway
Blythe, CA 92225-1479
Phone (760) 922-4981

Other practice location 1

78015 Main St
Suite 203
LA Quinta, CA 92253-3420
Phone (760) 564-7004

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
51392MNMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Interoperability endpoints

  • Direct secure messaging: william.hoolihan.p1@direct.cdsdp.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1457371601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251479",
            "telephone_number": "760-922-4981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 W HOBSONWAY",
            "city": "BLYTHE",
            "state": "CA",
            "postal_code": "922251479",
            "telephone_number": "760-922-4981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78015 Main St",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "LA Quinta",
            "state": "CA",
            "postal_code": "922533420",
            "country_code": "US",
            "telephone_number": "760-564-7004",
            "fax_number": "760-564-7064",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOLIHAN",
        "first_name": "WILLIAM",
        "middle_name": "LACROIX",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "51392",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "51392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blythe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2024; 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.