Trevor a Williams DMD PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

DD2677 Issued in NM

Legal business name

TREVOR A WILLIAMS DMD PC

Doing business as

Deming Dental Services

Practice address

400 S Gold Ave
Deming, NM 88030-4159

Phone

(575) 546-2684

Fax

(575) 546-1106

NPI assigned

Apr 28, 2017

Last updated

Apr 28, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Samantha K Jasso

Title

Financial Coordinator

Phone

(575) 546-2684

Specialties & licenses 1

Addresses

Other names 1

• Deming Dental Services Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Trevor A Williams, DMD

  • General Practice Dentistry
  • Deming, NM
  • NPI 1568451011
  NPD (past)

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493337600000",
    "number": "1003341934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304159",
            "telephone_number": "575-546-2684",
            "fax_number": "575-546-1106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S GOLD AVE",
            "city": "DEMING",
            "state": "NM",
            "postal_code": "880304159",
            "telephone_number": "575-546-2684",
            "fax_number": "575-546-1106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREVOR A WILLIAMS DMD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A",
        "authorized_official_last_name": "JASSO",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "FINANCIAL COORDINATOR",
        "authorized_official_telephone_number": "575-546-2684"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NM",
            "license": "DD2677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Deming Dental Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Edward Teague
• The Eye Place Corporation
• Thomas J Byrne MD PLLC
• Carlos Trevino
• Gloria Trevino
• Rossana Trujillo, LBSW
• Janie Vargas, PA
• Manuel U Vargas, CPSW
• Carlos Ariel Vazquez, NP
• Lidia M Vega Chavira, LMSW

• Dental Clinic/Center in Deming, NM
• Providers in Deming, NM by specialty
• Dental Clinic/Center in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2017; 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.