Active NPI
Tanya Jophael Williams, DDS
- Dentist
- Dallas, TX
National Provider Identifier
1194810788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 0026082
- Practice address
- 4300 Rosemeade Pkwy
#1212
Dallas, TX 75287-2976 - Phone
- (314) 330-8096
- NPI assigned
- Oct 3, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DN012453 | GA | |
| Dentist | 122300000X | 0026082 | TX | Primary |
Addresses
Primary practice location
4300 Rosemeade Pkwy
#1212
Dallas, TX 75287-2976
Mailing address
4300 Rosemeade Pkwy
Apt 1212
Dallas, TX 75287-2976
Phone (314) 330-8096
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 257138953D | Medicaid | GA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN012453 | GA | MD | Dentist |
| 0026082 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1304812800000",
"number": "1194810788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4300 ROSEMEADE PKWY",
"address_2": "APT 1212",
"city": "DALLAS",
"state": "TX",
"postal_code": "752872976",
"telephone_number": "314-330-8096",
"fax_number": "770-892-5969"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4300 ROSEMEADE PKWY",
"address_2": "#1212",
"city": "DALLAS",
"state": "TX",
"postal_code": "752872976",
"telephone_number": "314-330-8096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "TANYA",
"middle_name": "JOPHAEL",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "GA",
"license": "DN012453",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "0026082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "257138953D",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.