Active NPI
William H Payne DDS LLC
- General Practice Dentistry
- Red Lion, PA
National Provider Identifier
1619375714
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DS018151L
- Legal business name
- WILLIAM H PAYNE DDS LLC
- Practice address
- 411 S Main St
Red Lion, PA 17356-2412 - Phone
- (717) 246-1085
- Fax
- (717) 246-4472
- NPI assigned
- Dec 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William H Payne, DDS
- Title
- Sole Member
- Phone
- (717) 246-1085
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DS018151L | PA | Primary |
Addresses
Primary practice location
411 S Main St
Red Lion, PA 17356-2412
Mailing address
411 S Main St
Red Lion, PA 17356-2412
Phone (717) 246-1085
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1619375714",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562412",
"telephone_number": "717-246-1085",
"fax_number": "717-246-4472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 S MAIN ST",
"city": "RED LION",
"state": "PA",
"postal_code": "173562412",
"telephone_number": "717-246-1085",
"fax_number": "717-246-4472"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM H PAYNE DDS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "PAYNE",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "SOLE MEMBER",
"authorized_official_telephone_number": "717-246-1085",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "PA",
"license": "DS018151L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Red Lion, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.