Organization Active NPI

William D Tenney

  • Podiatrist
  • Mentor, OH
National Provider Identifier
1821198318
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36001599 Issued in OH
Legal business name
WILLIAM D TENNEY
Practice address
8899 Mentor Ave
Mentor, OH 44060-6211
Phone
(440) 974-3338
NPI assigned
Sep 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Authorized official

Name
Dr. William D. Tenney, D.P.M.
Title
Owner
Phone
(440) 974-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 36001599 OH Primary

Addresses

Primary practice location

8899 Mentor Ave
Mentor, OH 44060-6211

Mailing address

8899 Mentor Ave
Mentor, OH 44060-6211
Phone (440) 974-3338

Other identifiers 3

IdentifierTypeStateIssuer
0232948MedicaidOH
274388804003OtherOHMEDICAL MUTUAL OF OHIO
480031264BOtherOHRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930073261 OH DME Supplier - Physician - Podiatry 1153449244 Practice locations: Mentor, OH

National Provider Directory

National Provider Directory

Locations

8899 Mentor Ave
Mentor, OH 44060
Phone (216) 974-3338

NPI Registry JSON

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320883200000",
    "number": "1821198318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8899 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-974-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8899 MENTOR AVE",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440606211",
            "telephone_number": "440-974-3338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM D TENNEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-24",
        "last_updated": "2011-11-10",
        "status": "A",
        "authorized_official_last_name": "TENNEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-974-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36001599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0232948",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL MUTUAL OF OHIO",
            "identifier": "274388804003",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "480031264B",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mentor, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; 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.