Active NPI
William Reuel Farnsworth, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Evansville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- S 42
- Practice address
- 550 W Virginia St
Evansville, IN 47710-1614 - Phone
- (812) 425-5194
- Fax
- (812) 426-9984
- NPI assigned
- Feb 28, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | S 42 | MN | Primary |
Addresses
Primary practice location
550 W Virginia St
Evansville, IN 47710-1614
Mailing address
550 W Virginia St
Evansville, IN 47710-1684
Phone (812) 425-5194
Other practice location 1
825 S 8th St
Parkside Professional Bldg, Suite 260
Minneapolis, MN 55404-1208
Phone (612) 347-7777
Other practice location 2
4121 Gateway Blvd
Newburgh, IN 47630-8954
Phone (812) 425-5194
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Oral Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 W Virginia St
Evansville, IN 47710-1614
Phone (812) 425-5194
Hospital & facility affiliations
- Deaconess Hospital Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S 42 | MN | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oral Surgery Group of Evansville, Inc | Oral and Maxillofacial Surgery | Current | Accepting new patients |
Locations
550 W Virginia St
Evansville, IN 47710
Phone (812) 425-5194
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Oral and Maxillofacial Surgery (Dentist)
- Evansville, IN
- NPI 1467506188
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522022400000",
"number": "1790813293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 W VIRGINIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101684",
"telephone_number": "812-425-5194",
"fax_number": "812-426-9984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 W VIRGINIA ST",
"city": "EVANSVILLE",
"state": "IN",
"postal_code": "477101614",
"telephone_number": "812-425-5194",
"fax_number": "812-426-9984"
}
],
"practiceLocations": [
{
"address_1": "825 S 8th St",
"address_2": "Parkside Professional Bldg, Suite 260",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554041208",
"country_code": "US",
"telephone_number": "612-347-7777",
"fax_number": "612-347-7757",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4121 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "476308954",
"country_code": "US",
"telephone_number": "812-425-5194",
"fax_number": "812-426-9984",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FARNSWORTH",
"first_name": "WILLIAM",
"middle_name": "REUEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-28",
"last_updated": "2018-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "MN",
"license": "S 42",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Evansville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.