Baret Williams-Furfaro

Primary specialty

DentistTaxonomy code 122300000X

License

D12974 Issued in MN

Practice address

3622 Moberg Dr NW
Bemidji, MN 56601-5644

Phone

(218) 751-4216

NPI assigned

Aug 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Baret Williams Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Great River Dentistry of Bemidji, PLLC

  • Dental Clinic/Center
  • Bemidji, MN
  • NPI 1982156147
  NPD (past) Authorized official
• Great River Dentistry of Bemidji, P.a.

  • General Practice Dentistry
  • Bemidji, MN
  • NPI 1821260654
  NPD (past)

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

{
    "created_epoch": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349913600000",
    "number": "1093094039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1005",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566191005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3622 MOBERG DR NW",
            "city": "BEMIDJI",
            "state": "MN",
            "postal_code": "566015644",
            "telephone_number": "218-751-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-FURFARO",
        "first_name": "BARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-09",
        "last_updated": "2012-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "MN",
            "license": "D12974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BARET",
            "last_name": "WILLIAMS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jay F Wilimek, PH.D., L.P.
• Darlene Smith Wilkey, CNP
• Jody Marie Wilkinson, BA
• Meirah Lee Wilkinson, RBT
• Rodney D Will, MD
• Douglas Russell Williams, D.D.S
• Emily Williams, RN, BSN, PHN, LSN
• Jessica Williams, APN
• Jessica Antoinette Williams
• Travis J. Williams, D.O.

• Dentist in Bemidji, MN
• Providers in Bemidji, MN by specialty
• Dentist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.