Individual provider Active NPI

William F. Cardman, D.M.D.

  • General Practice Dentistry
  • Lakeland, FL
National Provider Identifier
1689743825
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7070 Issued in FL
Practice address
4455 Florida National Dr
Lakeland, FL 33813-1516
Phone
(863) 644-2405
NPI assigned
Nov 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7070 FL Primary

Addresses

Primary practice location

4455 Florida National Dr
Lakeland, FL 33813-1516

Mailing address

4455 Florida National Dr
Lakeland, FL 33813-1516
Phone (863) 644-2405

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20170127000026 FL Order and Referring Only - Other (Physician)Practitioner - Other (Physician) 7618259680

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7070FLMDGeneral Practice Dentistry

Networks

  • Freedom Health HMO Network

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689743825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 FLORIDA NATIONAL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131516",
            "telephone_number": "863-644-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 FLORIDA NATIONAL DR",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338131516",
            "telephone_number": "863-644-2405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARDMAN",
        "first_name": "WILLIAM",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "7070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.