Active NPI
William T. Shipley, D.D.S., M.S.D.
- Dental Clinic/Center
- Cookeville, TN
National Provider Identifier
1679860969
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- License
- DS 1549
- Legal business name
- WILLIAM T. SHIPLEY, D.D.S., M.S.D.
- Practice address
- 303 N Oak Ave
Cookeville, TN 38501-2439 - Phone
- (931) 526-7846
- NPI assigned
- Jul 7, 2011
- 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
- Dr. William Thurman Shipley Sr., DDS MSD
- Title
- Orthodontist
- Phone
- (931) 626-7846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | DS 1549 | TN | Primary |
Addresses
Primary practice location
303 N Oak Ave
Cookeville, TN 38501-2439
Mailing address
303 N Oak Ave
Cookeville, TN 38501-2439
Phone (931) 526-7846
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3201385 | Medicaid | TN |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309996800000",
"number": "1679860969",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 N OAK AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012439",
"telephone_number": "931-526-7846"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 N OAK AVE",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012439",
"telephone_number": "931-526-7846"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLIAM T. SHIPLEY, D.D.S., M.S.D.",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-07",
"last_updated": "2011-07-07",
"status": "A",
"authorized_official_last_name": "SHIPLEY",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "THURMAN",
"authorized_official_title_or_position": "ORTHODONTIST",
"authorized_official_telephone_number": "931-626-7846",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "DDS MSD"
},
"taxonomies": [
{
"code": "261QD0000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Dental",
"state": "TN",
"license": "DS 1549",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3201385",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.