Organization Active NPI

Brent M Williams DDS PS

  • Dentist
  • Spokane Valley, WA
National Provider Identifier
1033119771
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
WAL 0000 4815 Issued in WA
Legal business name
BRENT M WILLIAMS DDS PS
Practice address
420 N Evergreen Rd
Suite 400 Building B
Spokane Valley, WA 99216-0852
Phone
(509) 922-1360
Fax
(509) 922-1260
NPI assigned
Jul 22, 2005
Last updated
May 21, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2008

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

Authorized official

Name
Dr. Brent Max Williams, DDS
Title
President
Phone
(509) 922-1360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X WAL 0000 4815 WA Primary

Addresses

Primary practice location

420 N Evergreen Rd
Suite 400 Building B
Spokane Valley, WA 99216-0852

Mailing address

420 N Evergreen Rd
Suite 400 Building B
Spokane Valley, WA 99216-0852
Phone (509) 922-1360

National Provider Directory

National Provider Directory

Locations

420 N Evergreen Rd
Ste 400
Spokane Valley, WA 99216
Phone (509) 922-1360

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211328000000",
    "number": "1033119771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 N EVERGREEN RD",
            "address_2": "SUITE 400 BUILDING B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160852",
            "telephone_number": "509-922-1360",
            "fax_number": "509-922-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 N EVERGREEN RD",
            "address_2": "SUITE 400 BUILDING B",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992160852",
            "telephone_number": "509-922-1360",
            "fax_number": "509-922-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRENT M WILLIAMS DDS PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-22",
        "last_updated": "2008-05-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "MAX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "509-922-1360",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "WAL 0000 4815",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.