Active NPI
William Atkinson
- General Practice Dentistry
- Brandon, FL
National Provider Identifier
1942360862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN17412
- Practice address
- 11385 Causeway Blvd
Suite A4-5
Brandon, FL 33511-2904 - Phone
- (813) 662-2500
- NPI assigned
- Dec 11, 2006
- Last updated
- Jul 8, 2007
- 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 | DN17412 | FL | Primary |
Addresses
Primary practice location
11385 Causeway Blvd
Suite A4-5
Brandon, FL 33511-2904
Mailing address
1770 N Wickham Rd
Melbourne, FL 32935-8122
Phone (813) 662-2500
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150727000577 | CA | Order and Referring Only - Dentist | 6507179199 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NCP Dental of Florida P.C. | General Practice | Current | Accepting new patients |
Locations
10740 Palm River Rd
Ste 210
Tampa, FL 33619
Phone (813) 660-6600
Networks
- HealthSun Health Plans Network
- Freedom Health HMO Network
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, 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": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942360862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1770 N WICKHAM RD",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329358122",
"telephone_number": "813-662-2500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11385 CAUSEWAY BLVD",
"address_2": "SUITE A4-5",
"city": "BRANDON",
"state": "FL",
"postal_code": "335112904",
"telephone_number": "813-662-2500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "FL",
"license": "DN17412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brandon, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.