WILLIAM J DOHERTY, DDS, PC
NPI 1548800873
Clinic/Center - Dental in Tecumseh, MI
About William J Doherty, Dds, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLIAM J DOHERTY, DDS, PC (NPI 1548800873) is a healthcare organization registered as a dental in Tecumseh, Michigan and active in the NPI registry since January 2020. The organization lists William J Doherty, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
William J Doherty, Dds, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to William J Doherty, DDS, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is William J Doherty, Dds, PC's NPI number?
The NPI number for William J Doherty, Dds, PC is 1548800873. It was assigned to this organization in the NPPES registry on January 15, 2020.
Where is William J Doherty, Dds, PC located?
William J Doherty, Dds, PC is located at 120 Herrick Park Dr, Tecumseh, MI 49286. The listed phone number is (517) 423-4050.
What is William J Doherty, Dds, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.
Is William J Doherty, Dds, PC enrolled in Medicare?
Yes. William J Doherty, Dds, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through William J Doherty, Dds, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dentist) reassigns their Medicare billing to William J Doherty, Dds, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for William J Doherty, Dds, PC was last updated on January 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# William J Doherty, Dds, Pc · NPI 1548800873
Dental organization in Tecumseh, Michigan. Organization record, active in the CMS NPPES registry since January 15, 2020.
## Identity
- **NPI:** 1548800873 (Entity type: Organization)
- **Enumerated:** January 15, 2020
- **Primary specialty:** Clinic/Center - Dental · taxonomy 261QD0000X
- **Organization subpart:** No
- **Authorized official:** William Doherty, OWNER
## Practice location
- **Address:** 120 HERRICK PARK DR, Tecumseh, MI 49286-1422
- **Phone:** (517) 423-4050 · **Fax:** (517) 424-6363
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Dentist) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1548800873) · Data from the CMS NPPES public registry.