Shari Fai Williams

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

12453 Issued in NC

Practice address

202 Williamson Rd Ste 200
Mooresville, NC 28117-7611

Phone

(704) 360-8670

NPI assigned

Jun 4, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1235797366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RICHARD LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117913515",
            "telephone_number": "516-524-6427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 WILLIAMSON RD STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177611",
            "telephone_number": "704-360-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SHARI",
        "middle_name": "FAI",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NC",
            "license": "12453",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1924",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Williams, LCSW
• Mason Williams, OD
• Paul H. Williams, DDS
• Princess Nicole Williams, MD
• Randall P Williams, MD
• Takariah Willis-Finney, LCMHCA, NCC
• Kobina Arhin Wilmot, M.D.
• Aaliyah Wilson, LMFTA
• Clifford Wilson, LCMHC
• James David Wilson, MD

• All providers in Mooresville, NC
• Pediatric Dentistry in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.