Active NPI
William Rayford Priester III, DDS
- Prosthodontics
- Memphis, TN
National Provider Identifier
1992871388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthodontics
- License
- 2498
- Practice address
- 5866 Ridge Bend Rd
Suite 1
Memphis, TN 38120-9477 - Phone
- (901) 767-8759
- Fax
- (901) 767-0763
- NPI assigned
- Nov 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | 2498 | TN | Primary |
Addresses
Primary practice location
5866 Ridge Bend Rd
Suite 1
Memphis, TN 38120-9477
Mailing address
5866 Ridge Bend Rd
Suite
Memphis, TN 38120-9477
Phone (901) 767-8759
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016333TND | Other | TN | ECID |
| 2498 | Other | TN | DENTAL LICENSE NUMBER |
| H20021404 | Other | TN | HIPPA |
| AP5978474 | Other | TN | PRESCREPTION LICENSE NUMB |
| 0170462 | Other | TN | BLUE CROSS AND BLUE SHIEL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992871388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5866 RIDGE BEND RD",
"address_2": "SUITE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209477",
"telephone_number": "901-767-8759",
"fax_number": "901-767-0763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5866 RIDGE BEND RD",
"address_2": "SUITE 1",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209477",
"telephone_number": "901-767-8759",
"fax_number": "901-767-0763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRIESTER",
"first_name": "WILLIAM",
"middle_name": "RAYFORD",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1223P0700X",
"taxonomy_group": "",
"desc": "Dentist, Prosthodontics",
"state": "TN",
"license": "2498",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ECID",
"identifier": "016333TND",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DENTAL LICENSE NUMBER",
"identifier": "2498",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIPPA",
"identifier": "H20021404",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESCREPTION LICENSE NUMB",
"identifier": "AP5978474",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS AND BLUE SHIEL",
"identifier": "0170462",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.