Kenneth Lee Williams, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

14786 Issued in MI

Practice address

11784 Belleville Rd
Belleville, MI 48111-2457

Phone

(734) 699-1808

Fax

(734) 699-3599

NPI assigned

Sep 26, 2006

Last updated

Sep 29, 2016By the provider in NPPES

Sex

Male

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 MI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Family Dentistry & Assoc. of Belleville P.C.

  • Dentist
  • Belleville, MI
  • NPI 1700282241
  NPD (past) Authorized official

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475107200000",
    "number": "1053412684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11784 BELLEVILLE RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112457",
            "telephone_number": "734-699-1808",
            "fax_number": "734-699-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11784 BELLEVILLE RD",
            "city": "BELLEVILLE",
            "state": "MI",
            "postal_code": "481112457",
            "telephone_number": "734-699-1808",
            "fax_number": "734-699-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KENNETH",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MI",
            "license": "14786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Walker
• Cindy Warren
• Sheldon Girard Wheeler Jr.
• White Pine Dental Health, PLLC
• Jason Patrick Williams, ATC
• Raluca Williams, RN
• Wright & Roberson LLC (Promoting Positive Images)
• Sandra Wright, A-GNP-C
• Xpeditious
• Chin Yi, MD

• General Practice Dentistry in Belleville, MI
• Providers in Belleville, MI by specialty
• General Practice Dentistry in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; 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.