Organization Active NPI

Williams Saraiva DDS - a Professional Corporation

  • General Practice Dentistry
  • Fullerton, CA
National Provider Identifier
1053017079
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
WILLIAMS SARAIVA DDS - A PROFESSIONAL CORPORATION
Practice address
819 W Wilshire Ave
Fullerton, CA 92832-1649
Phone
(714) 797-4710
NPI assigned
Feb 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Williams SaraivaNPI 1861644114
Title
Owner
Phone
(714) 797-4710

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

819 W Wilshire Ave
Fullerton, CA 92832-1649

Mailing address

819 W Wilshire Ave
Fullerton, CA 92832-1649
Phone (714) 797-4710

National Provider Directory

National Provider Directory

Locations

819 W Wilshire Ave
Fullerton, CA 92832
Phone (714) 441-1658

Practitioners & affiliated clinicians

Practitioners 1

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": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1053017079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 W WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321649",
            "telephone_number": "714-797-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W WILSHIRE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928321649",
            "telephone_number": "714-797-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS SARAIVA DDS - A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "SARAIVA",
        "authorized_official_first_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "714-797-4710"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.