Active NPI
William Wesley Earney, DMD PHD
- General Practice Dentistry
- Millersburg, OH
National Provider Identifier
1588797351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 15597
- Practice address
- 135 S Clay St
Millersburg, OH 44654-1307 - Phone
- (330) 674-8080
- Fax
- (330) 674-4837
- NPI assigned
- Mar 13, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 15597 | OH | Primary |
Addresses
Primary practice location
135 S Clay St
Millersburg, OH 44654-1307
Mailing address
135 S Clay St
Millersburg, OH 44654-1307
Phone (330) 674-8080
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 341807825026 | Other | OH | CARESOURCE |
| 9184090 | Other | OH | DOREL |
| 456032 | Other | OH | UNITED CONCORDIA |
| 0515713 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 20, 2016 through Oct 20, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15597 | OH | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dunn, DDS. LLC | Past | Accepting new patients | |
| Earney Dental Associates Inc | 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.
-
- General Practice Dentistry
- Millersburg, OH
- NPI 1982646287
-
- Dental Clinic/Center
- Millersburg, OH
- NPI 1972100527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213747200000",
"number": "1588797351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 S CLAY ST",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541307",
"telephone_number": "330-674-8080",
"fax_number": "330-674-4837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "135 S CLAY ST",
"city": "MILLERSBURG",
"state": "OH",
"postal_code": "446541307",
"telephone_number": "330-674-8080",
"fax_number": "330-674-4837"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARNEY",
"first_name": "WILLIAM",
"middle_name": "WESLEY",
"name_prefix": "Mr.",
"credential": "DMD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2008-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "OH",
"license": "15597",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "341807825026",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOREL",
"identifier": "9184090",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "456032",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0515713",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Millersburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.