William J. Farrow, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

5001987015 Issued in WI

Practice address

233 Dodge St
Kaukauna, WI 54130-2500

Phone

(920) 766-9542

Fax

(920) 759-4439

NPI assigned

Sep 27, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Kaukauna Family Dentistry, S.C.

  • General Practice Dentistry
  • Kaukauna, WI
  • NPI 1073604013
  NPD (past) Authorized official
• Curtis R. Hebdon, D.D.S., S.C.

  • Dental Clinic/Center
  • Kaukauna, WI
  • NPI 1134600448
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1508957523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 DODGE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302500",
            "telephone_number": "920-766-9542",
            "fax_number": "920-759-4439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 DODGE ST",
            "city": "KAUKAUNA",
            "state": "WI",
            "postal_code": "541302500",
            "telephone_number": "920-766-9542",
            "fax_number": "920-759-4439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARROW",
        "first_name": "WILLIAM",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5001987015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33383300",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holly L Doughty, LPC
• Anthony James Dragosh, D.C.
• Marilyn Rae Dragosh, D.C.
• Trish L Dragosh, M.T.
• Mark Arthur Ebben, OD OPTOMETRIST
• Amy Fehlauer, PTA
• Staci Ferg, BCBA
• Robin M Fischer, LPC
• Beth M Fluette, RN
• Fox Valley Autism Treatment Program

• General Practice Dentistry in Kaukauna, WI
• Providers in Kaukauna, WI by specialty
• General Practice Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.