Individual provider Active NPI

Anne E Williamson, DDS MS

  • Endodontics
  • Lincoln, NE
National Provider Identifier
1134216070
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
License
5577 Issued in NE
Practice address
4000 E Campus Loop S
Lincoln, NE 68583-1530
Phone
(402) 472-1492
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Endodontics 1223E0200X 40074 IA
Endodontics 1223E0200X 5577 NE Primary

Addresses

Primary practice location

4000 E Campus Loop S
Lincoln, NE 68583-1530

Mailing address

4000 E Campus Loop S
Lincoln, NE 68583-1530
Phone (402) 472-1492

Other practice location 1

322 S Dental Science Bldg
Iowa City, IA 52242-1001
Phone (319) 335-7440

Other identifiers 1

IdentifierTypeStateIssuer
1508788MedicaidIA

Other names 1

  • Dr. Anne E Hurlbert Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
40074IAMDEndodontist
5577NEMDEndodontist

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1134216070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E CAMPUS LOOP S",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685831530",
            "telephone_number": "402-472-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CAMPUS LOOP S",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685831530",
            "telephone_number": "402-472-1492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "322 S Dental Science Bldg",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421001",
            "country_code": "US",
            "telephone_number": "319-335-7440",
            "fax_number": "319-335-7451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "ANNE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "DDS MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "IA",
            "license": "40074",
            "primary": false
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "NE",
            "license": "5577",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508788",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "HURLBERT",
            "middle_name": "E",
            "prefix": "DR.",
            "credential": "DDS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.