Active NPI
William M Northway, D.D.S.,M.S.
- Orthodontics and Dentofacial Orthopedics Dentistry
- Traverse City, MI
National Provider Identifier
1801983531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- Practice address
- 12776 S West Bay Shore Dr
Traverse City, MI 49684-5451 - Phone
- (231) 946-0070
- Fax
- (231) 946-6026
- NPI assigned
- Oct 6, 2006
- 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 |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | MI | Primary |
Addresses
Primary practice location
12776 S West Bay Shore Dr
Traverse City, MI 49684-5451
Mailing address
12776 S West Bay Shore Dr
Traverse City, MI 49684-5451
Phone (231) 946-0070
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4852715 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northway and Hall Orthodontics PLLC | Orthodontics and Dentofacial Orthopedics | Past | Accepting new patients |
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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Traverse City, MI
- NPI 1003903741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192406400000",
"number": "1801983531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12776 S WEST BAY SHORE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845451",
"telephone_number": "231-946-0070",
"fax_number": "231-946-6026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12776 S WEST BAY SHORE DR",
"city": "TRAVERSE CITY",
"state": "MI",
"postal_code": "496845451",
"telephone_number": "231-946-0070",
"fax_number": "231-946-6026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NORTHWAY",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.D.S.,M.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "MI",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4852715",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Traverse City, MI
- Northern Roots Medical Associates P.L.L.C.
- Northern Vision Eye Care, PC
- Northern Woods Counseling & Consulting Services, Inc.
- Northshore Rehab PLLC
- Northway and Hall Orthodontics PLLC
- Northwest Michigan Community Action Agency
- Northwest Michigan Health Services Inc.
- Northwest Michigan Health Services, Inc
- Northwest Michigan Health Services, Inc
- Northwest Michigan Health Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.