Active NPI
William P Tennant, WILLIAM TENNANT
- General Practice Dentistry
- Berkeley, CA
National Provider Identifier
1891870291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 23247
- Practice address
- 2999 Regent St
Suite 714
Berkeley, CA 94705-2146 - Phone
- (510) 848-3143
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 23247 | CA | Primary |
Addresses
Primary practice location
2999 Regent St
Suite 714
Berkeley, CA 94705-2146
Mailing address
2999 Regent St
Suite 714
Berkeley, CA 94705-2146
Phone (510) 848-3143
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 23247 | Other | CA | DENTAL LISCENSE |
Other names 1
- Dr. William P Tennant
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
| License | State | Type | Specialty |
|---|---|---|---|
| 23247 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Williamtennantdds/Williamgiannidds | General Practice | 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.
-
- General Practice Dentistry
- Berkeley, CA
- NPI 1023283025
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209513600000",
"number": "1891870291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "SUITE 714",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052146",
"telephone_number": "510-848-3143",
"fax_number": "510-848-2522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2999 REGENT ST",
"address_2": "SUITE 714",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947052146",
"telephone_number": "510-848-3143"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNANT",
"first_name": "WILLIAM",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "WILLIAM TENNANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2008-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "23247",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LISCENSE",
"identifier": "23247",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "WILLIAM",
"last_name": "TENNANT",
"middle_name": "P",
"prefix": "DR.",
"credential": "DDS",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.