Active NPI
William James Mitchell III, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Winter Springs, FL
National Provider Identifier
1912419706
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- DN22551
- 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, 2025
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| DN22551 | FL | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 22551 | FL | MD | Colon & Rectal Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dental Arts Studio | Current | Accepting new patients | |
| Annette Merlino DMD, Inc. | Past | Accepting new patients | |
| Quality Care Dental,P.a. | General Practice | Past | 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.
-
- Dental Clinic/Center
- Winter Springs, FL
- NPI 1124795000
-
- General Practice Dentistry
- Winter Springs, FL
- NPI 1730399031
-
- Dentist
- Delmont, PA
- NPI 1013243377
-
- General Practice Dentistry
- Mars, PA
- NPI 1750552519
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.