Active NPI
William D Gates, DDS, MS
- Prosthodontics
- Woodcliff Lake, NJ
National Provider Identifier
1477723583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 22DI02664100
- Practice address
- 104 Broadway
Woodcliff Lake, NJ 07677-8096 - Phone
- (201) 307-1919
- Fax
- (919) 403-2392
- NPI assigned
- Mar 4, 2008
- Last updated
- Jun 24, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 6222 | NC | |
| Prosthodontics | 1223P0700X | DN011085 | GA | |
| Prosthodontics | 1223P0700X | 22DI02664100 | NJ | Primary |
Addresses
Primary practice location
104 Broadway
Woodcliff Lake, NJ 07677-8096
Mailing address
104 Broadway Ste 101
Woodcliff Lake, NJ 07677-8096
Phone (201) 307-1919
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 |
|---|---|---|---|
| DN011085 | GA | MD | Prosthodontist |
| 22DI02664100 | NJ | MD | Prosthodontist |
| 6222 | NC | MD | Audiologist-Hearing Aid Fitter |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bill Gates DDS Ms | Prosthodontics | Current | Accepting new patients |
| Lasanta & Hernandez PLLC | Prosthodontics | Past | Accepting new patients |
| Bill Gates DDS Ms | Prosthodontics | Past | Accepting new patients |
Locations
104 Broadway
Woodcliff Lake, NJ 07677
Phone (201) 307-1919
104 Broadway
Ste 101
Woodcliff Lake, NJ 07677
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Prosthodontics
- Woodcliff Lake, NJ
- NPI 1336718170
-
- Prosthodontics
- Durham, NC
- NPI 1225466584
-
dba H&L Dentistry
- General Practice Dentistry
- Durham, NC
- NPI 1144782509
Prosthodontics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1624492800000",
"number": "1477723583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 BROADWAY STE 101",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778096",
"telephone_number": "201-307-1919",
"fax_number": "201-307-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 BROADWAY",
"city": "WOODCLIFF LAKE",
"state": "NJ",
"postal_code": "076778096",
"telephone_number": "201-307-1919",
"fax_number": "919-403-2392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATES",
"first_name": "WILLIAM",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "DDS, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-04",
"last_updated": "2021-06-24",
"certification_date": "2021-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NC",
"license": "6222",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "GA",
"license": "DN011085",
"primary": false
},
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "NJ",
"license": "22DI02664100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodcliff Lake, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.