Organization Active NPI

Dr. William C. O'Donnell DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Pittsfield, MA
National Provider Identifier
1871638486
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
033194-1 Issued in NY
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0250953OtherMAMASSHEALTH
159991OtherNYUNITED CONCORDIA
X11995OtherMABC BS OF MASS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.