✓ Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD) (122300000X) ✓ HHS OIG Screened Clear 🩺 Entity Type 1 (Individual)

WILLIAM MICHAEL ANDERSON, DMD, MS (NPI #1518946995)

Dentist • JBSA LACKLAND, TX • Status: Active Federal Registration

⚙️ JSON API
CMS-1500 Box 24J / 33a • NPI
1518946995
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
122300000X (CMS C5)
Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
Box 32 Service Location & ZIP+4
2133 PEPPERRELL ST, JBSA LACKLAND, TX, 78236-5313
✓ 9-Digit EDI 837 ZIP+4 (78236-5313)
Practice Phone & Referral Fax
Direct NPPES Verification Line
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1518946995 (WILLIAM MICHAEL ANDERSON, DMD, MS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number1518946995 (NPI-1 Individual Practitioner)
Provider / Legal NameWILLIAM MICHAEL ANDERSON, DMD, MS
Plain-English SpecialtyLicensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
NUCC Code: 122300000X (Dentist)
Certifying / Licensing BodyAmerican Dental Association (ADA) / State Board of Dental Examiners
Practice Location Address2133 PEPPERRELL ST, JBSA LACKLAND, TX, 78236-5313
Practice Telephone / FaxTel: (210) 292-8626
Administrative Mailing Address10431 VALLE ALTO, HELOTES, TX, 78023-2917
Enumeration & Last SyncEnumerated: 2006-01-12 | CMS Record Updated: 2019-08-09

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2133 PEPPERRELL ST, JBSA LACKLAND, TX, 78236-5313

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Plain-English Taxonomy & CMS Crosswalk (122300000X)

What Does Taxonomy Code 122300000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 122300000X translates to:
"Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)"

CMS-1500 Medicare Specialty Crosswalk: CMS Code C5 (Dentist)
Certifying / Accrediting Authority: American Dental Association (ADA) / State Board of Dental Examiners
Clinical Scope: Routine 6-month dental checkups, toothache, dental abscess, bleeding gums (periodontitis), or wisdom tooth extraction.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (WILLIAM MICHAEL ANDERSON, DMD, MS)

Typical CPT / Diagnostic Procedures:
  • Comprehensive Oral Evaluation, Digital Dental Radiographs & Prophylaxis
  • Restorative Composite Fillings, Crowns, Endodontic Root Canal & Extractions
Common Therapeutic Classes:
  • Amoxicillin, Metronidazole & Clindamycin (Odontogenic Infections)
  • Chlorhexidine Gluconate 0.12% Oral Rinse & High-Fluoride Varnish

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English DescriptionState License & Primary Status
122300000X — Dentist
Plain English: Licensed Doctor of Dental Surgery (DDS) / Doctor of Medicine in Dentistry (DMD)
State: NJ | License: 22D102277900 | Primary: Yes (Primary)
Medical Billing, RCM & Hospital Credentialing Teams:
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