William Paul Antonucci, D. M. D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS-020662L Issued in PA

Practice address

539 Lincoln Ave
Bellevue, PA 15202-3558

Phone

(412) 734-3664

Fax

(412) 734-3998

NPI assigned

Nov 16, 2006

Sex

Male

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optometric Care, Inc

  • Optometrist
  • Bellevue, PA
  • NPI 1992713184
  NPD

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992878029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 41075",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152020075",
            "telephone_number": "412-734-3664",
            "fax_number": "412-734-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 LINCOLN AVE",
            "city": "BELLEVUE",
            "state": "PA",
            "postal_code": "152023558",
            "telephone_number": "412-734-3664",
            "fax_number": "412-734-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTONUCCI",
        "first_name": "WILLIAM",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "D. M. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS-020662L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allegheny Medical Practice Network
• Allegheny Medical Practice Network
• Allegheny Medical Practice Network
• Alviani Dental LLC
• Amanda Lynn Anderson, LPC
• Associates in Gastroenterology
• Adib H Barsoum, M.D.
• Bellevue Chiropractic Centre, P.C.
• Bellevue Dental Partners PLLC
• Bellevue Vision Co

• All providers in Bellevue, PA
• General Practice Dentistry in Pennsylvania

• 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.

Verify at the official NPI Registry.