William C Cain, DDS

Primary specialty

Oral and Maxillofacial Pathology DentistryTaxonomy code 1223P0106X

License

20479 Issued in TX

Practice address

3622 Williams Dr
BLDG 1
Georgetown, TX 78628-2420

Phone

(512) 869-0529

Fax

(512) 869-5655

NPI assigned

Mar 27, 2007

Last updated

Mar 7, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 22, 2024 through Jan 22, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299456000000",
    "number": "1952429888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 W 38TH ST",
            "address_2": "SUITE A-1",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051121",
            "telephone_number": "512-454-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 WILLIAMS DR",
            "address_2": "BLDG 1",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786282420",
            "telephone_number": "512-869-0529",
            "fax_number": "512-869-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "WILLIAM",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2011-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0106X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Pathology",
            "state": "TX",
            "license": "20479",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitara M Byerly
• Nancy Byun
• Onadia Cristobalina Cabrera-Mora
• Elizabeth Cabrera, MD
• Jessica N. Cain
• April Cameron
• Alison Damarodas Campbell, DDS
• Lauren Campbell, MA, LPC, LMFT-A
• Melody Grace Campbell, COTA/L
• Rhonda Sue Campbell, PA-C

• Oral and Maxillofacial Pathology Dentistry in Georgetown, TX
• Providers in Georgetown, TX by specialty
• Oral and Maxillofacial Pathology Dentistry in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2011; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.