Individual provider Active NPI

William Holmes Alexander, DDS

  • General Practice Dentistry
  • Atlanta, GA
National Provider Identifier
1528268786
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DN013501 Issued in GA
Practice address
400 Cleveland Ave SW
Atlanta, GA 30315-8144
Phone
(404) 761-8455
Fax
(404) 761-2181
NPI assigned
Jul 24, 2007
Last updated
Aug 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X DN013501 GA Primary

Addresses

Primary practice location

400 Cleveland Ave SW
Atlanta, GA 30315-8144

Mailing address

3730 Carmia Dr SW Ste 170
Atlanta, GA 30331-6259
Phone (404) 349-7889

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

State licenses

LicenseStateTypeSpecialty
DN013501GAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Smile 365 Dental General Practice Current Accepting new patients
Metro Dental LLC General Practice Past Accepting new patients

Organizations & group practices 2

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": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1528268786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3730 CARMIA DR SW STE 170",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303316259",
            "telephone_number": "404-349-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CLEVELAND AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303158144",
            "telephone_number": "404-761-8455",
            "fax_number": "404-761-2181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDER",
        "first_name": "WILLIAM",
        "middle_name": "HOLMES",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN013501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.