Gregory A Williams, D.M.D., PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D7467 Issued in OR

Practice address

11820 SW King James PL
Suite #40
Tigard, OR 97224-2480

Phone

(503) 620-2020

Fax

(503) 624-5796

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OR

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

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226275200000",
    "number": "1124052709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL",
            "address_2": "SUITE #40",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242480",
            "telephone_number": "503-620-2020",
            "fax_number": "503-624-5796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11820 SW KING JAMES PL",
            "address_2": "SUITE #40",
            "city": "TIGARD",
            "state": "OR",
            "postal_code": "972242480",
            "telephone_number": "503-620-2020",
            "fax_number": "503-624-5796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "GREGORY",
        "middle_name": "A",
        "credential": "D.M.D., PC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "OR",
            "license": "D7467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Williams
• Chantia Shyannne Williams
• Cornelius Vann Williams
• Devan Williams
• Eric Daryl Williams
• Kahloy Hugh Williams
• Kessa Williams, MA, QMHP
• Kimberly Sue Williams, FNP
• Kristopher Williams
• Lakieva Denise Williams

• General Practice Dentistry in Tigard, OR
• Providers in Tigard, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; 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.

Verify at the official NPI Registry.