William G Shold, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Practice address

6050 Brynwood Dr
Suite 205
Rockford, IL 61114-6579

Phone

(815) 877-7780

Fax

(815) 877-7710

NPI assigned

Nov 6, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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": "1700955606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6050 BRYNWOOD DR",
            "address_2": "SUITE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146579",
            "telephone_number": "815-877-7780",
            "fax_number": "815-877-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BRYNWOOD DR",
            "address_2": "SUITE 205",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611146579",
            "telephone_number": "815-877-7780",
            "fax_number": "815-877-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLD",
        "first_name": "WILLIAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Shipp
• Liza A Dafchahi Shirani, MD
• Shiraz Tata PHD LLC
• Norman E Shirk Jr., LCPC
• David S Shoberg, M.D.
• Margaret Ruth Shook, COTA/L
• Shoptikal LLC
• Renita Shores-Gaston, LCSW
• De'Shace Short
• Karen L. Short, LCSW

• General Practice Dentistry in Rockford, IL
• Providers in Rockford, IL by specialty
• General Practice Dentistry in Illinois

• 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.

Verify at the official NPI Registry.