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Deactivated NPI 1346239084 Deactivated / Inactive NPI Male Practitioner

Dr. William Charles Munn , MD

Specialist • Fairfield, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. William Munn has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 16, 2005
NPI Deactivation Date October 21, 2019
Total Practice Duration ~14 Years of Practice (2005 – 2019)

Professional Overview & Biography Verified Profile Summary

Dr. William Munn, MD was a registered Specialist practicing in Fairfield, CA. Throughout an active medical career spanning 14 years, Dr. Munn provided care at the practice location at 1245 TRAVIS BLVD until profile deactivation on 2019-10-21.

Practice Location & Contact Primary Location

Practice Address

1245 Travis Blvd
Suite E

Fairfield, CA 945334898

Telephone 7074228919
Fax 7074228920

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Fairfield, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 38.0 Yrs
Regional Practice Density
24 Specialists

Practicing in Fairfield, CA (6446 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License CA 00C318430

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1104811942

Doctor of Medicine (M.D.)

NPI 1801950449

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 21, 2019

Record deactivated on October 21, 2019

NPI Profile Active March 10, 2012

NPI status registered as active in NPPES database

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Updated Practice Location March 10, 2012

Registered at 1245 TRAVIS BLVD, SUITE E, FAIRFIELD, CA 945334898 (Tel: 7074228919)

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Updated Business Mailing Address March 10, 2012

Registered at 1245 TRAVIS BLVD, SUITE E, FAIRFIELD, CA 945334898 (Tel: 7074228919)

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Provider Name / Credentials Updated March 10, 2012

Recorded as WILLIAM MUNN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 10, 2012

Specialist (License #00C318430 in CA)

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Initial NPI Registration & Enumeration October 16, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346239084
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 16, 2005
Last Update: March 10, 2012
Deactivation Date: October 21, 2019

Mailing Address

1245 Travis Blvd, Suite E

Fairfield, CA 945334898

Phone: 7074228919

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.