Active NPI
William Nolan Shriner, DDS
- General Practice Dentistry
- Lake Placid, FL
National Provider Identifier
1629288261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN5326
- Practice address
- 408 W Interlake Blvd
Lake Placid, FL 33852-0700 - Phone
- (863) 465-2037
- Fax
- (863) 465-1155
- NPI assigned
- May 23, 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 | DN5326 | FL | Primary |
Addresses
Primary practice location
408 W Interlake Blvd
Lake Placid, FL 33852-0700
Mailing address
603 Lake Blue Dr
Lake Placid, FL 33852-6980
Phone (863) 465-2867
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN5326 | FL | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629288261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 LAKE BLUE DR",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338526980",
"telephone_number": "863-465-2867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "408 W INTERLAKE BLVD",
"city": "LAKE PLACID",
"state": "FL",
"postal_code": "338520700",
"telephone_number": "863-465-2037",
"fax_number": "863-465-1155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRINER",
"first_name": "WILLIAM",
"middle_name": "NOLAN",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN5326",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Placid, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.