Active NPI
Dr. William C. O'Donnell DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pittsfield, MA
National Provider Identifier
1871638486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 033194-1
- Legal business name
- DR. WILLIAM C. O'DONNELL DMD
- Practice address
- 262 South St
Pittsfield, MA 01201-6811 - Phone
- (413) 443-0703
- Fax
- (413) 443-0746
- NPI assigned
- Feb 21, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Theresa L. Jerome
- Title
- Receptionist
- Phone
- (413) 443-0703
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 033194-1 | NY | Primary |
Addresses
Primary practice location
262 South St
Pittsfield, MA 01201-6811
Mailing address
160 Fairview Ave
Fairview Plaza
Hudson, NY 12534-1267
Phone (518) 828-1316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0250953 | Other | MA | MASSHEALTH |
| 159991 | Other | NY | UNITED CONCORDIA |
| X11995 | Other | MA | BC BS OF MASS |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Pittsfield, MA
- NPI 1518043967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172016000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1871638486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 FAIRVIEW AVE",
"address_2": "FAIRVIEW PLAZA",
"city": "HUDSON",
"state": "NY",
"postal_code": "125341267",
"telephone_number": "518-828-1316",
"fax_number": "413-443-0746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "262 SOUTH ST",
"city": "PITTSFIELD",
"state": "MA",
"postal_code": "012016811",
"telephone_number": "413-443-0703",
"fax_number": "413-443-0746"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DR. WILLIAM C. O'DONNELL DMD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-21",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "JEROME",
"authorized_official_first_name": "THERESA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "RECEPTIONIST",
"authorized_official_telephone_number": "413-443-0703",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "NY",
"license": "033194-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MASSHEALTH",
"identifier": "0250953",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "159991",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MASS",
"identifier": "X11995",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pittsfield, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.