Individual provider Active NPI

William James Mitchell III, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Winter Springs, FL
National Provider Identifier
1912419706
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
DN22551 Issued in FL
Practice address
154 W State Road 434
Winter Springs, FL 32708-2551
Phone
(407) 327-1964
NPI assigned
Nov 1, 2017
Last updated
Feb 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 22551 FL
General Practice Dentistry 1223G0001X DS041458 PA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X DN22551 FL Primary

Addresses

Primary practice location

154 W State Road 434
Winter Springs, FL 32708-2551

Mailing address

311 Song Bird Rd
Debary, FL 32713-3186

Other practice location 1

7031 Crider Rd Ste 200
Mars, PA 16046-2385
Phone (724) 772-2929

Other practice location 2

2370 State Route 66
Delmont, PA 15626-1454
Phone (724) 468-8502

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
DN22551FLMDOrthodontics and Dentofacial Orthopedic Dentist
22551FLMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dental Arts Studio CurrentSince Mar 11, 2025 Accepting new patients
Annette Merlino DMD, Inc. PastSince Dec 1, 2020 Accepting new patients
Quality Care Dental,P.a. General Practice PastSince Mar 11, 2025 Accepting new patients
North Pointe Dental Associates, P.C. General Practice Past Accepting new patients

Locations

154 W State Road 434
Winter Springs, FL 32708
Phone (407) 327-1964

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1912419706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 SONG BIRD RD",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327133186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 W STATE ROAD 434",
            "city": "WINTER SPRINGS",
            "state": "FL",
            "postal_code": "327082551",
            "telephone_number": "407-327-1964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7031 Crider Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Mars",
            "state": "PA",
            "postal_code": "160462385",
            "country_code": "US",
            "telephone_number": "724-772-2929",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2370 State Route 66",
            "address_purpose": "LOCATION",
            "city": "Delmont",
            "state": "PA",
            "postal_code": "156261454",
            "country_code": "US",
            "telephone_number": "724-468-8502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "WILLIAM",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "FL",
            "license": "22551",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS041458",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "FL",
            "license": "DN22551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; 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.