Individual provider Active NPI

William T McCauley, DDS

  • Dentist
  • Carlsbad, NM
National Provider Identifier
1467567297
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
DD1244 Issued in NM
Practice address
612 N Canyon
Carlsbad, NM 88220-5842
Phone
(505) 887-7594
Fax
(505) 887-3962
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X DD1244 NM Primary

Addresses

Primary practice location

612 N Canyon
Carlsbad, NM 88220-5842

Mailing address

612 N Canyon
Carlsbad, NM 88220-5842
Phone (505) 887-7594

Other identifiers 1

IdentifierTypeStateIssuer
0084343MedicaidNM

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
DD1244NMMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
William T. McCauley D.D.S. CurrentSince May 16, 2021 Accepting new patients

Locations

612 N Canyon St
Carlsbad, NM 88220
Phone (575) 887-7594

Organizations & group practices 1

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": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467567297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "612 N CANYON",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205842",
            "telephone_number": "505-887-7594",
            "fax_number": "505-887-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 N CANYON",
            "city": "CARLSBAD",
            "state": "NM",
            "postal_code": "882205842",
            "telephone_number": "505-887-7594",
            "fax_number": "505-887-3962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAULEY",
        "first_name": "WILLIAM",
        "middle_name": "T",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NM",
            "license": "DD1244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0084343",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlsbad, NM

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.

Verify at the official NPI Registry.