Organization Active NPI

Dr. James R. Williams of Sauk Centre DDS PA

  • Dental Clinic/Center
  • Sauk Centre, MN
National Provider Identifier
1063247682
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DR. JAMES R. WILLIAMS OF SAUK CENTRE DDS PA
Practice address
1140 Sinclair Lewis Ave Ste 5
Sauk Centre, MN 56378-1962
Phone
(320) 491-8382
Fax
(320) 352-2171
NPI assigned
Sep 4, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Abby Areshenko
Title
Office Manager
Phone
(320) 491-8382

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1140 Sinclair Lewis Ave Ste 5
Sauk Centre, MN 56378-1962

Mailing address

1140 Sinclair Lewis Ave Ste 5
Sauk Centre, MN 56378-1962
Phone (320) 491-8382

National Provider Directory

National Provider Directory

Locations

1140 Sinclair Lewis Ave
Ste 5
Sauk Centre, MN 56378
Phone (320) 352-2171

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": "1725408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1063247682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 SINCLAIR LEWIS AVE STE 5",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781962",
            "telephone_number": "320-491-8382",
            "fax_number": "320-352-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 SINCLAIR LEWIS AVE STE 5",
            "city": "SAUK CENTRE",
            "state": "MN",
            "postal_code": "563781962",
            "telephone_number": "320-491-8382",
            "fax_number": "320-352-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JAMES R. WILLIAMS OF SAUK CENTRE DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-04",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "ARESHENKO",
        "authorized_official_first_name": "ABBY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "320-491-8382"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sauk Centre, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.