Shannon J Williams, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

5208 Issued in OK

Practice address

510 S Duck St
Stillwater, OK 74074-4051

Phone

(405) 377-7300

Fax

(405) 377-7301

NPI assigned

Dec 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Ocean Dental, PC

  • General Practice Dentistry
  • Stillwater, OK
  • NPI 1508906876
  NPD (past)

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476230400000",
    "number": "1144389453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 GREYSTONE ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740741206",
            "telephone_number": "405-414-8108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S DUCK ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744051",
            "telephone_number": "405-377-7300",
            "fax_number": "405-377-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHANNON",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OK",
            "license": "5208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200056630A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John David Williams, M.D.
• Kaylene Jo Williams
• Lori Williams, COTA/L
• Macy Elizabeth Williams
• Patricia Mary Williams, C-PRSS
• Sidney Dalton Williams Jr., M.D.
• William James Williams
• Steven Willingham, D.PH.
• Randall J Willis, M.D.
• Alysssa Grace Willison

• Dentist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Dentist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2016; 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.