NPIMap

Organization Active NPI

Tracey Tabor Williams, DMD, PC

  • General Practice Dentistry
  • Indianapolis, IN
National Provider Identifier
1023360310
Registry record updated Oct 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
TRACEY TABOR WILLIAMS, DMD, PC
Practice address
303 N Alabama St
Suite 270
Indianapolis, IN 46204-2037
Phone
(317) 637-4636
NPI assigned
Oct 10, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2012

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

Authorized official

Name
Debbie G. Sebastian
Title
Office Manager
Phone
(317) 637-4636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X IN Primary

Addresses

Primary practice location

303 N Alabama St
Suite 270
Indianapolis, IN 46204-2037

Mailing address

303 N Alabama St
Suite 270
Indianapolis, IN 46204-2037
Phone (317) 637-4636

National Provider Directory

National Provider Directory
Tax ID family
Tracey Tabor Williams DMD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349827200000",
    "number": "1023360310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N ALABAMA ST",
            "address_2": "SUITE 270",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042037",
            "telephone_number": "317-637-4636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N ALABAMA ST",
            "address_2": "SUITE 270",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462042037",
            "telephone_number": "317-637-4636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACEY TABOR WILLIAMS, DMD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-10",
        "last_updated": "2012-10-10",
        "status": "A",
        "authorized_official_last_name": "SEBASTIAN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "317-637-4636"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2012; 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.