Organization Active NPI

Zachary T Williams DDS MCLD LLC

Doing business as Osborne and Williams Orthodontics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Raytown, MO
National Provider Identifier
1194093211
Registry record updated Dec 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
2011003001 Issued in MO
Legal business name
ZACHARY T WILLIAMS DDS MCLD LLC
Doing business as
Osborne and Williams Orthodontics
Practice address
10760 E State Route 350
Raytown, MO 64138-1815
Phone
(816) 358-9691
NPI assigned
Dec 3, 2011
Organization subpart
Yes
Parent organization
ZACHARY T WILLIAMS DDS MCLDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 3, 2011

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

Authorized official

Name
Dr. Zachary Thomas Williams, D.D.S., M.C.L.D.NPI 1225247083
Title
Manager
Phone
(816) 419-0946

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223X0400X 2011003001 MO Primary

Addresses

Primary practice location

10760 E State Route 350
Raytown, MO 64138-1815

Mailing address

10760 E State Route 350
Raytown, MO 64138-1815
Phone (816) 358-9691

Other names 1

  • Osborne and Williams Orthodontics Doing business as

National Provider Directory

National Provider Directory

Locations

10760 E State Route 350
Raytown, MO 64138
Phone (816) 358-9691

Practitioners & affiliated clinicians

Practitioners 2

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": "1322870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322870400000",
    "number": "1194093211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10760 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381815",
            "telephone_number": "816-358-9691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10760 E STATE ROUTE 350",
            "city": "RAYTOWN",
            "state": "MO",
            "postal_code": "641381815",
            "telephone_number": "816-358-9691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACHARY T WILLIAMS DDS MCLD LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ZACHARY T WILLIAMS DDS MCLD",
        "enumeration_date": "2011-12-03",
        "last_updated": "2011-12-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "816-419-0946",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S., M.C.L.D."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MO",
            "license": "2011003001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Osborne and Williams Orthodontics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Raytown, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2011; 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.