Active NPI
Orville Donovan Williams, DDS
- General Practice Dentistry
- Asheville, NC
National Provider Identifier
1104944099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 7087
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 899012C | Medicaid | NC |
Other names 1
- Dr. Orville Donovan Williams
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160112001778 | NC | Order and Referring Only - Oral Surgery | 1052624780 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7087 | NC | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Dentist
- Conover, NC
- NPI 1205001757
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.