Harley Jill Williams, D.M.D.

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

License

39109 Issued in CA

Practice address

999 E Stanley Blvd
Livermore, CA 94550-4002

Phone

(925) 371-0300

Fax

(925) 371-0800

NPI assigned

Dec 11, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1197331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1013190255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E STANLEY BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504002",
            "telephone_number": "925-371-0300",
            "fax_number": "925-371-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E STANLEY BLVD",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504002",
            "telephone_number": "925-371-0300",
            "fax_number": "925-371-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "HARLEY",
        "middle_name": "JILL",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-11",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "CA",
            "license": "39109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Western Dental Services, Inc.
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• Amy Marie Williams
• Daniel J. Williams, DC
• John Craig Williams Jr., PSY.D.
• Steven Mark Williams, D.M.D.
• Mignonette Mae Willkom, MD
• Celia Rose Willner
• Julie Anne Wittman, RN

• Periodontics in Livermore, CA
• Providers in Livermore, CA by specialty
• Periodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.