Individual provider Active NPI

William M Huntzinger, D.D.S.

  • General Practice Dentistry
  • Sylvania, OH
National Provider Identifier
1457414013
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
16671 Issued in OH
Practice address
3924 Sylvan Lakes Blvd
Sylvania, OH 43560-8701
Phone
(419) 882-4510
Fax
(419) 833-2604
NPI assigned
Dec 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 16671 OH Primary

Addresses

Primary practice location

3924 Sylvan Lakes Blvd
Sylvania, OH 43560-8701

Mailing address

210 W Airport Hwy
P.O. Box 270
Swanton, OH 43558-1441
Phone (419) 826-2525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20150417001177 OH Order and Referring Only - DentistPractitioner - Dentist 1850619073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
16671OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Health Associates of Sylvania, LTD General Practice PastSince May 1, 2006 Accepting new patients
Dental Health Associates PastSince Feb 13, 2022 Accepting new patients

Organizations & group practices 2

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1457414013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W AIRPORT HWY",
            "address_2": "P.O. BOX 270",
            "city": "SWANTON",
            "state": "OH",
            "postal_code": "435581441",
            "telephone_number": "419-826-2525",
            "fax_number": "419-825-5067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3924 SYLVAN LAKES BLVD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435608701",
            "telephone_number": "419-882-4510",
            "fax_number": "419-833-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTZINGER",
        "first_name": "WILLIAM",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-18",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "16671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.