NPIMap

Organization Active NPI

William D Hancock Jr DDS SC

  • Dentist
  • Bloomingdale, IL
National Provider Identifier
1467618173
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
019017838 Issued in IL
Legal business name
WILLIAM D HANCOCK JR DDS SC
Practice address
109 Fairfield Way
204
Bloomingdale, IL 60108-1583
Phone
(630) 351-6699
Fax
(630) 351-0083
NPI assigned
Aug 1, 2008
Last updated
Aug 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

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

Authorized official

Name
Dr. William D Hancock Jr., DDSNPI 1871607804
Title
President
Phone
(630) 351-6699

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X 019017838 IL Primary

Addresses

Primary practice location

109 Fairfield Way
204
Bloomingdale, IL 60108-1583

Mailing address

109 Fairfield Way
204
Bloomingdale, IL 60108-1583
Phone (630) 351-6699

National Provider Directory

National Provider Directory

Locations

109 Fairfield Way
Ste 204
Bloomingdale, IL 60108
Phone (630) 351-6699

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1467618173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY",
            "address_2": "204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081583",
            "telephone_number": "630-351-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 FAIRFIELD WAY",
            "address_2": "204",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081583",
            "telephone_number": "630-351-6699",
            "fax_number": "630-351-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D HANCOCK JR DDS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HANCOCK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-351-6699",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "IL",
            "license": "019017838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.