Active NPI
Michael William Ford, DDS, MS
- Endodontics
- Killeen, TX
National Provider Identifier
1467459065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endodontics
- License
- 18374
- Practice address
- 1711 E Central Texas Expy
Ste 102
Killeen, TX 76541-9145 - Phone
- (254) 554-3636
- NPI assigned
- Jun 29, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Endodontics | 1223E0200X | 18374 | TX | Primary |
Addresses
Primary practice location
1711 E Central Texas Expy
Ste 102
Killeen, TX 76541-9145
Mailing address
1711 E Central Texas Expy
Ste 102
Killeen, TX 76541-9145
Phone (254) 554-3636
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18374 | TX | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467459065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY",
"address_2": "STE 102",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419145",
"telephone_number": "254-554-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1711 E CENTRAL TEXAS EXPY",
"address_2": "STE 102",
"city": "KILLEEN",
"state": "TX",
"postal_code": "765419145",
"telephone_number": "254-554-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MICHAEL",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223E0200X",
"taxonomy_group": "",
"desc": "Dentist, Endodontics",
"state": "TX",
"license": "18374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Killeen, TX
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.