Organization Active NPI

William G Halliday III DDS PLC

  • General Practice Dentistry
  • Scottsdale, AZ
National Provider Identifier
1710395124
Registry record updated Jul 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7424 Issued in AZ
Legal business name
WILLIAM G HALLIDAY III DDS PLC
Practice address
4910 E Greenway Rd
Suite 7
Scottsdale, AZ 85254-1653
Phone
(602) 992-2996
NPI assigned
Jul 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2014

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

Authorized official

Name
Dr. William G Halliday III, D.D.S.
Title
Owner
Phone
(410) 258-4539

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 7424 AZ Primary

Addresses

Primary practice location

4910 E Greenway Rd
Suite 7
Scottsdale, AZ 85254-1653

Mailing address

4910 E Greenway Rd
Suite 7
Scottsdale, AZ 85254-1653
Phone (602) 992-2996

Other identifiers 1

IdentifierTypeStateIssuer
274502MedicaidAZ

Other names 1

  • Restoration Dental Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406592000000",
    "number": "1710395124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD",
            "address_2": "SUITE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-992-2996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E GREENWAY RD",
            "address_2": "SUITE 7",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541653",
            "telephone_number": "602-992-2996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM G HALLIDAY III DDS PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-29",
        "last_updated": "2014-07-29",
        "status": "A",
        "authorized_official_last_name": "HALLIDAY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-258-4539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "AZ",
            "license": "7424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274502",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Restoration Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2014; 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.