Active NPI
William M Lawley, DDS
- General Practice Dentistry
- Westchester, IL
National Provider Identifier
1912243585
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 19 17 431
- Practice address
- 10704 31St St
Westchester, IL 60154-5111 - Phone
- (708) 409-0990
- NPI assigned
- Dec 29, 2012
- 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 | 19 17 431 | IL | Primary |
Addresses
Primary practice location
10704 31St St
Westchester, IL 60154-5111
Mailing address
10704 31St St
Westchester, IL 60154-5111
Phone (708) 409-0990
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 |
|---|---|---|---|
| 19 17 431 | IL | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William M Lawley DDS LTD | 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.
-
- Dental Clinic/Center
- Westchester, IL
- NPI 1033363304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1356739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356912000000",
"number": "1912243585",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10704 31ST ST",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545111",
"telephone_number": "708-409-0990"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10704 31ST ST",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601545111",
"telephone_number": "708-409-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAWLEY",
"first_name": "WILLIAM",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-12-29",
"last_updated": "2012-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "IL",
"license": "19 17 431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.