Individual provider Active NPI

William D Gates, DDS, MS

  • Prosthodontics
  • Woodcliff Lake, NJ
National Provider Identifier
1477723583
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
22DI02664100 Issued in NJ
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, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
DN011085GAMDProsthodontist
22DI02664100NJMDProsthodontist
6222NCMDAudiologist-Hearing Aid Fitter

Practice roles

OrganizationSpecialtyStatusNew patients
Bill Gates DDS Ms Prosthodontics CurrentSince Jun 27, 2021 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.

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.

Verify at the official NPI Registry.