Individual provider Active NPI

William J Baye, DDS

  • General Practice Dentistry
  • Appleton, WI
National Provider Identifier
1881752020
Registry record updated Oct 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
5979-015 Issued in WI
Practice address
4314 N Bull Rush Dr
Appleton, WI 54913-8172
Phone
(920) 739-2500
Fax
(920) 739-2505
NPI assigned
Dec 4, 2006
Last updated
Oct 27, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2009

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 5979-015 WI Primary

Addresses

Primary practice location

4314 N Bull Rush Dr
Appleton, WI 54913-8172

Mailing address

4314 N Bull Rush Dr
Appleton, WI 54913-8172
Phone (920) 739-2500

Other identifiers 1

IdentifierTypeStateIssuer
33799200OtherWIMEDICAL ASSISTANCE (EDS)

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
5979-015WIMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256601600000",
    "number": "1881752020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 N BULL RUSH DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138172",
            "telephone_number": "920-739-2500",
            "fax_number": "920-739-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 N BULL RUSH DR",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549138172",
            "telephone_number": "920-739-2500",
            "fax_number": "920-739-2505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAYE",
        "first_name": "WILLIAM",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2009-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WI",
            "license": "5979-015",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL ASSISTANCE (EDS)",
            "identifier": "33799200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; 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.