William Travis Windham, DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

22664 Issued in FL

Practice address

5701 Hickory St
Panama City, FL 32404-7814

Phone

(850) 763-8030

NPI assigned

Jun 6, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1496707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1508395203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5701 HICKORY ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047814",
            "telephone_number": "850-763-8030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5701 HICKORY ST",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324047814",
            "telephone_number": "850-763-8030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINDHAM",
        "first_name": "WILLIAM",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22664",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia H. Wilson, M.S., TVI/COMS, NBCT
• Richard Boulware Wilson, MD
• Ted Richard Wilson, M.D.
• Caroline Windham, APRN
• David Pete Windham, DMD
• Tyler Brooks Windsor, CRNP
• Teresa Winford, ARNP, FNP-C
• Martha Ann Wing, BA
• Rebecca Winge
• Harriet Wingrove-Quaranta, MD

• General Practice Dentistry in Panama City, FL
• Providers in Panama City, FL by specialty
• General Practice Dentistry in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.