Individual provider Active NPI

Orville Donovan Williams, DDS

  • General Practice Dentistry
  • Asheville, NC
National Provider Identifier
1104944099
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7087 Issued in NC
Practice address
417 Biltmore Ave Ste 4J-2
Doctors Park
Asheville, NC 28801-4542
Phone
(828) 252-8989
Fax
(828) 252-9979
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7087 NC Primary

Addresses

Primary practice location

417 Biltmore Ave Ste 4J-2
Doctors Park
Asheville, NC 28801-4542

Mailing address

417 Biltmore Ave Ste 4J-2
Doctors Park
Asheville, NC 28801-4542
Phone (828) 252-8989

Other identifiers 1

IdentifierTypeStateIssuer
899012CMedicaidNC

Other names 1

  • Dr. Orville Donovan Williams Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160112001778 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 1052624780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7087NCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Larissa M. Mastro, DDS, P.a. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1104944099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE STE 4J-2",
            "address_2": "DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014542",
            "telephone_number": "828-252-8989",
            "fax_number": "828-252-9979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 BILTMORE AVE STE 4J-2",
            "address_2": "DOCTORS PARK",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014542",
            "telephone_number": "828-252-8989",
            "fax_number": "828-252-9979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ORVILLE",
        "middle_name": "DONOVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "899012C",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ORVILLE",
            "last_name": "WILLIAMS",
            "middle_name": "DONOVAN",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.