Laura Elizabeth Williams

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

307 E Ray Fine Blvd Ste 1
Roland, OK 74954-5160

Phone

(918) 503-6262

NPI assigned

Nov 16, 2021

Last updated

Nov 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Riley Farm Dental & Braces, PLLC

  • Dental Clinic/Center
  • Fort Smith, AR
  • NPI 1598324220
  NPD (past)

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637020800000",
    "number": "1063178879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E RAY FINE BLVD",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545160",
            "telephone_number": "918-503-6262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 E RAY FINE BLVD STE 1",
            "city": "ROLAND",
            "state": "OK",
            "postal_code": "749545160",
            "telephone_number": "918-503-6262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-16",
        "last_updated": "2021-11-16",
        "certification_date": "2021-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Roland",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Muldrow",
            "address_1": "307 E Ray Fine Blvd Ste 1",
            "city": "Roland",
            "state": "OK",
            "country_code": "US",
            "postal_code": "749545160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jade Nicole Verge, MS, OTR/L
• Caitlin Elizabeth Waters, APRN-CNP
• Natalie Webb, LPN
• Natalie Jo Weidman, M.S. CCC-SLP
• Davonna Whittenburg, RN
• Dalyn Danee Winton, DPH
• April Jean Wofford
• Shawn Wolfe

• Specialist in Roland, OK
• Providers in Roland, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2021; 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.