NPIMap

Organization Active NPI

Dr William Lee Huskey DDS, Village Green Dental Professionals, LLC

  • General Practice Dentistry
  • Sidney, OH
National Provider Identifier
1699989038
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
30-18974 Issued in OH
Legal business name
DR WILLIAM LEE HUSKEY DDS, VILLAGE GREEN DENTAL PROFESSIONALS, LLC
Practice address
2150 Wapakoneta Ave
Sidney, OH 45365-1444
Phone
(937) 492-7080
Fax
(937) 492-7046
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. William Lee Huskey, DDSNPI 1285725499
Title
Owner
Phone
(937) 492-7080

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 30-18974 OH Primary

Addresses

Primary practice location

2150 Wapakoneta Ave
Sidney, OH 45365-1444

Mailing address

2150 Wapakoneta Ave
Sidney, OH 45365-1444
Phone (937) 492-7080

Other identifiers 4

IdentifierTypeStateIssuer
0781079MedicaidOH
598741OtherDELTA INSURANCE
219583462026OtherCARESOURCE
341644055-00OtherOHWORKERS COMPENSATION

National Provider Directory

National Provider Directory

Locations

2150 Wapakoneta Ave
Sidney, OH 45365
Phone (937) 492-7080

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1699989038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 WAPAKONETA AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651444",
            "telephone_number": "937-492-7080",
            "fax_number": "937-492-7046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 WAPAKONETA AVE",
            "city": "SIDNEY",
            "state": "OH",
            "postal_code": "453651444",
            "telephone_number": "937-492-7080",
            "fax_number": "937-492-7046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR WILLIAM LEE HUSKEY DDS, VILLAGE GREEN DENTAL PROFESSIONALS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUSKEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "937-492-7080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "OH",
            "license": "30-18974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0781079",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DELTA INSURANCE",
            "identifier": "598741",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "219583462026",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "341644055-00",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sidney, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.