Active NPI
William G Halliday III DDS PLC
- General Practice Dentistry
- Scottsdale, AZ
National Provider Identifier
1710395124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7424
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 274502 | Medicaid | AZ |
Other names 1
- Restoration Dental
National Provider Directory
National Provider DirectoryNPI 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.