Individual provider Active NPI

Douglas P Williams, DDS., MS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Thousand Oaks, CA
National Provider Identifier
1205921897
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
38381 Issued in CA
Practice address
2220 N. Moorpark Rd.
101
Thousand Oaks, CA 91360-3168
Phone
(805) 497-1004
Fax
(805) 497-2024
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 38381 CA Primary

Addresses

Primary practice location

2220 N. Moorpark Rd.
101
Thousand Oaks, CA 91360-3168

Mailing address

2220 N. Moorpark Rd.
101
Thousand Oaks, CA 91360-3168
Phone (805) 497-1004

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
38381CAMDOrthodontics and Dentofacial Orthopedic 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": "1183852800000",
    "number": "1205921897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 N. MOORPARK RD.",
            "address_2": "101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603168",
            "telephone_number": "805-497-1004",
            "fax_number": "805-497-2024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 N. MOORPARK RD.",
            "address_2": "101",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603168",
            "telephone_number": "805-497-1004",
            "fax_number": "805-497-2024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DOUGLAS",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "DDS., MS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "38381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.