Active NPI
Harris E Williams, DDS
- Oral and Maxillofacial Surgery (Dentist)
- Memphis, TN
National Provider Identifier
1225132590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Oral and Maxillofacial Surgery (Dentist)
- License
- DS0000002570
- Practice address
- 6621 Kirby Center CV
Memphis, TN 38115-4313 - Phone
- (901) 362-6103
- Fax
- (901) 362-6694
- NPI assigned
- Sep 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | DS0000002570 | TN | Primary |
Addresses
Primary practice location
6621 Kirby Center CV
Memphis, TN 38115-4313
Mailing address
6621 Kirby Center CV
Memphis, TN 38115-4313
Phone (901) 362-6103
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89018612 | Other | AL | BLUE CROSS BLUE SHIELD |
| 3724884 | Medicaid | TN | |
| 2003076 | Other | TN | BLUE CROSS BLUE SHIELD |
| 02054027 | Medicaid | MS | |
| 151535 | Other | UNITED CONCORDIA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DS0000002570 | TN | MD | Oral and Maxillofacial Surgery (Dentist) |
| 2570 | TN | MD | Physical Therapy Assistant |
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.
-
- Oral and Maxillofacial Surgery (Dentist)
- Memphis, TN
- NPI 1669644878
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1225132590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 KIRBY CENTER CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154313",
"telephone_number": "901-362-6103",
"fax_number": "901-362-6694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 KIRBY CENTER CV",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381154313",
"telephone_number": "901-362-6103",
"fax_number": "901-362-6694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HARRIS",
"middle_name": "E",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-08",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1223S0112X",
"taxonomy_group": "",
"desc": "Dentist, Oral and Maxillofacial Surgery",
"state": "TN",
"license": "DS0000002570",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "89018612",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3724884",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "2003076",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02054027",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED CONCORDIA",
"identifier": "151535",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.