NPIMap

Organization Active NPI

Bradley Scott Williams D.D.S.

  • Dental Clinic/Center
  • Clarinda, IA
National Provider Identifier
1164807145
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
License
DDS-09199 Issued in IA
Legal business name
BRADLEY SCOTT WILLIAMS D.D.S.
Practice address
205 S 16TH St
Clarinda, IA 51632-2107
Phone
(712) 542-4015
NPI assigned
Jul 20, 2015
Last updated
Jul 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Authorized official

Name
Dr. Bradley Scott Williams, D.D.S.NPI 1861878308
Title
Owner
Phone
(712) 303-1219

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X DDS-09199 IA Primary

Addresses

Primary practice location

205 S 16TH St
Clarinda, IA 51632-2107

Mailing address

205 S 16TH St
Clarinda, IA 51632-2107
Phone (712) 542-4015

National Provider Directory

National Provider Directory

Locations

205 S 16th St
Clarinda, IA 51632
Phone (712) 542-4015

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1164807145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322107",
            "telephone_number": "712-542-4015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 S 16TH ST",
            "city": "CLARINDA",
            "state": "IA",
            "postal_code": "516322107",
            "telephone_number": "712-542-4015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRADLEY SCOTT WILLIAMS D.D.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "712-303-1219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "IA",
            "license": "DDS-09199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarinda, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.