Organization Active NPI

William F. Andrews,Jr.DDS,PC

  • General Practice Dentistry
  • Jackson, TN
National Provider Identifier
1770752370
Registry record updated Feb 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAM F. ANDREWS,JR.DDS,PC
Practice address
67 Bolivar Hwy
Jackson, TN 38301-7810
Phone
(731) 423-2278
Fax
(731) 424-6131
NPI assigned
Feb 27, 2008
Last updated
Feb 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2008

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

Authorized official

Name
William F Andrews Jr., DDSNPI 1043209943
Title
President
Phone
(731) 423-2278

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 Primary

Addresses

Primary practice location

67 Bolivar Hwy
Jackson, TN 38301-7810

Mailing address

67 Bolivar Hwy
Jackson, TN 38301-7810
Phone (731) 423-2278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170329000638 TN Part B Supplier - Clinic/Group Practice 1254616527 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, TN

National Provider Directory

National Provider Directory

Locations

67 Bolivar Hwy
Jackson, TN 38301
Phone (731) 423-2278

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1770752370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BOLIVAR HWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017810",
            "telephone_number": "731-423-2278",
            "fax_number": "731-424-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67 BOLIVAR HWY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383017810",
            "telephone_number": "731-423-2278",
            "fax_number": "731-424-6131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM F. ANDREWS,JR.DDS,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "731-423-2278",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.