William G Angelos, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

9965 Issued in FL

Practice address

4846 N Kings Hwy
Fort Pierce, FL 34951-2243

Phone

(772) 468-6226

Fax

(772) 468-6226

NPI assigned

May 22, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Professional Dental Alliance of Florida, PLLC

  • General Practice Dentistry
  • Port St Lucie, FL
  • NPI 1750938072
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659580868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4846 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-468-6226",
            "fax_number": "772-468-6226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4846 N KINGS HWY",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349512243",
            "telephone_number": "772-468-6226",
            "fax_number": "772-468-6226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELOS",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "9965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vohondra Anderson
• Jamie Andre, MD
• Leslie Anez
• Angel Touch Home Care Agency LLC
• Angelic Care & Services Inc
• Angels of Karing Hearts LLC (Angels of karing Hearts)
• Angels Wings Synergy Retreat
• Angles of Karing Heart ,Inc
• Anil K Goyal MD PA
• Jennifer L. Anken, LCPC

• General Practice Dentistry in Fort Pierce, FL
• Providers in Fort Pierce, FL by specialty
• General Practice Dentistry in Florida

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.