Individual provider Active NPI

William Wesley Earney, DMD PHD

  • General Practice Dentistry
  • Millersburg, OH
National Provider Identifier
1588797351
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
15597 Issued in OH
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

Updated by the provider on Jun 18, 2008

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 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

IdentifierTypeStateIssuer
341807825026OtherOHCARESOURCE
9184090OtherOHDOREL
456032OtherOHUNITED CONCORDIA
0515713MedicaidOH

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
Green means eligible to order or refer.
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

LicenseStateTypeSpecialty
15597OHMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Dunn, DDS. LLC PastSince Oct 11, 2020 Accepting new patients
Earney Dental Associates Inc General Practice PastSince Feb 7, 2012 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": "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

Verify at the official NPI Registry.