Oliver Lee Willham, DDS, MS

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

7331 Issued in IA

Practice address

7400 Fleur Dr Ste 100
Des Moines, IA 50321-3105

Phone

(515) 285-6134

Fax

(515) 285-2249

NPI assigned

Feb 4, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

Practice roles

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

• Willham Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Des Moines, IA
  • NPI 1578697058
  NPD (past) Authorized official

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391472000000",
    "number": "1063835569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 FLEUR DR STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503213105",
            "telephone_number": "515-285-6134",
            "fax_number": "515-285-2249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 FLEUR DR STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503213105",
            "telephone_number": "515-285-6134",
            "fax_number": "515-285-2249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLHAM",
        "first_name": "OLIVER",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DDS, MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-02-04",
        "last_updated": "2014-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "IA",
            "license": "7331",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578697058",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steve Charles Wilkens, PHARM D, BCPS
• Duane Verne Wilkins, MD
• James Allen Wille, MD
• Michele Wille, OTR/L
• Willham Orthodontics
• William C. Jacobson MD PC
• William R. Boulden MD PC
• Blake C Williams, ARNP
• Caroline Elizabeth Statler Williams, MS
• David M Williams, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Iowa

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

Verify at the official NPI Registry.