Individual provider Active NPI

William Mark Sivley, DDS

  • Dentist
  • Abilene, TX
National Provider Identifier
1902021660
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
13811 Issued in TX
Practice address
3409 S 14TH St Ste 110
Abilene, TX 79605-4956
Phone
(325) 692-1580
Fax
(325) 692-4865
NPI assigned
Apr 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 13811 TX Primary

Addresses

Primary practice location

3409 S 14TH St Ste 110
Abilene, TX 79605-4956

Mailing address

3409 S 14TH St Ste 110
Abilene, TX 79605-4956
Phone (325) 692-1580

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13811TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
W. Mark Sivley DDS PLLC Dentist Current Accepting new patients
Sivley and Toogood, D.D.S. Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902021660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3409 S 14TH ST STE 110",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054956",
            "telephone_number": "325-692-1580",
            "fax_number": "325-692-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3409 S 14TH ST STE 110",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796054956",
            "telephone_number": "325-692-1580",
            "fax_number": "325-692-4865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIVLEY",
        "first_name": "WILLIAM",
        "middle_name": "MARK",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "13811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

Sources for this page

Verify at the official NPI Registry.