Individual provider Active NPI

William Gerald Oliver, DDS

  • General Practice Dentistry
  • Atwater, CA
National Provider Identifier
1538246327
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
29408 Issued in CA
Practice address
1095 Winton Way
Atwater, CA 95301
Phone
(209) 358-5485
Fax
(209) 358-8446
NPI assigned
Nov 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 29408 CA Primary

Addresses

Primary practice location

1095 Winton Way
Atwater, CA 95301

Mailing address

1095 Winton Way
Atwater, CA 95301
Phone (209) 358-5485

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20160219000756 CA Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2860797495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
29408CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Skinner and Dastrup Dental Corporation of Atwater General Practice PastSince Jul 7, 2024 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, 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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538246327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1095 WINTON WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-358-5485",
            "fax_number": "209-358-8446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1095 WINTON WAY",
            "city": "ATWATER",
            "state": "CA",
            "postal_code": "95301",
            "telephone_number": "209-358-5485",
            "fax_number": "209-358-8446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "WILLIAM",
        "middle_name": "GERALD",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "29408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atwater, CA

Sources for this page

Verify at the official NPI Registry.