Active NPI
Jared Edward Williams, D.D.S.
- Dentist
- Katy, TX
National Provider Identifier
1043506199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 29598
- Practice address
- 23225 Kingsland Blvd.,
Suite 300
Katy, TX 77494 - Phone
- (281) 395-0400
- NPI assigned
- Jun 27, 2011
- Last updated
- May 19, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 29598 | TX | Primary |
Addresses
Primary practice location
23225 Kingsland Blvd.,
Suite 300
Katy, TX 77494
Mailing address
23225 Kingsland Blvd
Ste 300
Katy, TX 77494-2890
Phone (281) 395-0400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29598 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400457600000",
"number": "1043506199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23225 KINGSLAND BLVD",
"address_2": "STE 300",
"city": "KATY",
"state": "TX",
"postal_code": "774942890",
"telephone_number": "281-395-0400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23225 KINGSLAND BLVD.,",
"address_2": "SUITE 300",
"city": "KATY",
"state": "TX",
"postal_code": "77494",
"telephone_number": "281-395-0400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "JARED",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-06-27",
"last_updated": "2014-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "29598",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.