Individual provider Active NPI

William Craig Daniels, DMD

  • General Practice Dentistry
  • Roseville, CA
National Provider Identifier
1932311289
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
31238 Issued in CA
Practice address
2520 Douglas Blvd
#120
Roseville, CA 95661-3992
Phone
(916) 789-2200
Fax
(916) 789-2202
NPI assigned
May 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 31238 CA Primary

Addresses

Primary practice location

2520 Douglas Blvd
#120
Roseville, CA 95661-3992

Mailing address

2520 Douglas Blvd
Ste 120
Roseville, CA 95661-3993
Phone (916) 789-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161018000825 CA Practitioner - Oral Surgery 3072803105 Practice locations: Roseville, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31238CAMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464220800000",
    "number": "1932311289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 DOUGLAS BLVD",
            "address_2": "STE 120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613993",
            "telephone_number": "916-789-2200",
            "fax_number": "916-789-2202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 DOUGLAS BLVD",
            "address_2": "#120",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613992",
            "telephone_number": "916-789-2200",
            "fax_number": "916-789-2202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIELS",
        "first_name": "WILLIAM",
        "middle_name": "CRAIG",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-07",
        "last_updated": "2016-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "31238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.