Individual provider Active NPI

Mara Catey-Williams, DMD

  • General Practice Dentistry
  • Gas City, IN
National Provider Identifier
1184777930
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12009658B Issued in IN
Practice address
115 S 2ND St
Gas City, IN 46933-1704
Phone
(765) 674-7241
Fax
(765) 674-6570
NPI assigned
Jan 18, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12009658B IN Primary

Addresses

Primary practice location

115 S 2ND St
Gas City, IN 46933-1704

Mailing address

115 S 2ND St
Gas City, IN 46933-1704
Phone (765) 674-7241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20181030001002 IN Order and Referring Only - DentistPractitioner - Dentist 2062765597

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12009658BINMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Catey Dentistry, P.C. 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184777930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S 2ND ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331704",
            "telephone_number": "765-674-7241",
            "fax_number": "765-674-6570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 S 2ND ST",
            "city": "GAS CITY",
            "state": "IN",
            "postal_code": "469331704",
            "telephone_number": "765-674-7241",
            "fax_number": "765-674-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATEY-WILLIAMS",
        "first_name": "MARA",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IN",
            "license": "12009658B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gas City, IN

Sources for this page

Verify at the official NPI Registry.