Individual provider Active NPI

William B Debonis, DDS

  • Dentist
  • New York, NY
National Provider Identifier
1487889937
Registry record updated May 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
36409 Issued in NY
Practice address
370 W 50TH St
New York, NY 10019-6629
Phone
(212) 333-2650
NPI assigned
May 27, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 36409 NY Primary

Addresses

Primary practice location

370 W 50TH St
New York, NY 10019-6629

Mailing address

370 W 50TH St
New York, NY 10019-6629

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180627000165 NY Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1355696741

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36409NYMDPharmacist
036409NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Worldwide Plaza Dental PLLC Dentist Past Accepting new patients

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1487889937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 W 50TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 W 50TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100196629",
            "telephone_number": "212-333-2650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBONIS",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "36409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.