Rachel Eulenberg Williams, DDS

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

103092 Issued in CA

Practice address

620 California Blvd
Suite G
San Luis Obispo, CA 93401

Phone

(805) 592-2020

Fax

(805) 592-2022

NPI assigned

Oct 25, 2006

Last updated

Aug 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Mar 10, 2015 through Mar 10, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Forester DDS Inc

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • San Luis Obispo, CA
  • NPI 1518430800
  NPD (past)
• Newsom Forester Dental Partnership

  dba Coastal Pediatric Dentistry

  • Pediatric Dentistry
  • San Luis Obispo, CA
  • NPI 1790127173
  NPD (past)
• Professional Dental Alliance of Illinois Ortho PLLC

  dba Grove Dental

  • Dental Clinic/Center
  • Bolingbrook, IL
  • NPI 1457987901
  NPD (past)

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535500800000",
    "number": "1013092618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD",
            "address_2": "SUITE G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-592-2020",
            "fax_number": "805-592-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 CALIFORNIA BLVD",
            "address_2": "SUITE G",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "93401",
            "telephone_number": "805-592-2020",
            "fax_number": "805-592-2022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RACHEL",
        "middle_name": "EULENBERG",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2018-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "IL",
            "license": "019026342",
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "103092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary David Williams
• Karen A Williams
• Kendra Noelle Williams, MFT INTERN
• Lucas Williams
• Nicole E Williams, M.A., LMFT
• Savannah Alysse Williams, LPT
• Tyler Williams, LCSW 85329
• Cassandra Lynn Williamson, RDHAP
• Denise Carolyn Williamson I, LMFT
• Douglas Logan Williamson, DNP

• Pediatric Dentistry in San Luis Obispo, CA
• Providers in San Luis Obispo, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.