Active NPI
Alan Edward Williams, DDS
- Dentist
- Oak Harbor, WA
National Provider Identifier
1245876549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 104412
- Practice address
- 3475 N Saratoga St
Oak Harbor, WA 98278-4927 - Phone
- (360) 257-9972
- Fax
- (360) 257-9978
- NPI assigned
- Nov 21, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 104412 | CA | Primary |
Addresses
Primary practice location
3475 N Saratoga St
Oak Harbor, WA 98278-4927
Mailing address
Commanding Officer, 2D Denbn/NDC, PSC 20130
315 McHugh Blvd
Camp Lejeune, NC 28542-0130
Phone (910) 451-2208
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 |
|---|---|---|---|
| 104412 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1245876549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMMANDING OFFICER, 2D DENBN/NDC, PSC 20130",
"address_2": "315 MCHUGH BLVD",
"city": "CAMP LEJEUNE",
"state": "NC",
"postal_code": "285420130",
"telephone_number": "910-451-2208",
"fax_number": "910-451-8479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3475 N SARATOGA ST",
"city": "OAK HARBOR",
"state": "WA",
"postal_code": "982784927",
"telephone_number": "360-257-9972",
"fax_number": "360-257-9978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ALAN",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-11-21",
"last_updated": "2022-12-09",
"certification_date": "2022-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "104412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oak Harbor, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.