Individual provider Active NPI

William J Runne, DDS

  • General Practice Dentistry
  • Rockford, IL
National Provider Identifier
1811035470
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
019-018861 Issued in IL
Practice address
4035 Morsay Dr Ste 2
Rockford, IL 61107-4875
Phone
(815) 397-3554
Fax
(815) 312-5985
NPI assigned
Feb 2, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 019-018861 IL Primary

Addresses

Primary practice location

4035 Morsay Dr Ste 2
Rockford, IL 61107-4875

Mailing address

4035 Morsay Dr Ste 2
Rockford, IL 61107-4875
Phone (815) 397-3554

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

State licenses

LicenseStateTypeSpecialty
019-018861ILMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
William J Runne, DDS LLC 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.

NPI Registry JSON

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1811035470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074875",
            "telephone_number": "815-397-3554",
            "fax_number": "815-312-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4035 MORSAY DR STE 2",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611074875",
            "telephone_number": "815-397-3554",
            "fax_number": "815-312-5985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUNNE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019-018861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.