Organization Active NPI

William H Payne DDS LLC

  • General Practice Dentistry
  • Red Lion, PA
National Provider Identifier
1619375714
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
DS018151L Issued in PA
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

Updated by the provider on Dec 5, 2014

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.