NPIMap

Organization Active NPI

T Merrell Williams DMD Ms PA

  • Periodontics
  • Tampa, FL
National Provider Identifier
1073586228
Registry record updated Dec 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PeriodonticsTaxonomy code 1223P0300X
License
DN12810 Issued in FL
Legal business name
T MERRELL WILLIAMS DMD MS PA
Practice address
4505 N Armenia Ave
#101
Tampa, FL 33603
Phone
(813) 354-8707
Fax
(813) 354-9230
NPI assigned
Feb 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2011

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

Authorized official

Name
Todd Merrell Williams, DMD MS
Title
Owner President
Phone
(813) 354-8707

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PeriodonticsGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0300X DN12810 FL Primary

Addresses

Primary practice location

4505 N Armenia Ave
#101
Tampa, FL 33603

Mailing address

4505 N Armenia Ave
#101
Tampa, FL 33603
Phone (813) 354-8707

National Provider Directory

National Provider Directory
Tax ID family
T Merrell Williams DMD Ms PA2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325030400000",
    "number": "1073586228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 N ARMENIA AVE",
            "address_2": "#101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-354-8707",
            "fax_number": "813-354-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 N ARMENIA AVE",
            "address_2": "#101",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33603",
            "telephone_number": "813-354-8707",
            "fax_number": "813-354-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T MERRELL WILLIAMS DMD MS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-08",
        "last_updated": "2011-12-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MERRELL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "813-354-8707",
        "authorized_official_credential": "DMD MS"
    },
    "taxonomies": [
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Periodontics",
            "state": "FL",
            "license": "DN12810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2011; 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.