NPIMap

Organization Active NPI

Benjamin D. Williams DMD PA

Doing business as Woodlawn Dental

  • Dentist
  • Birmingham, AL
National Provider Identifier
1265603823
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
BENJAMIN D. WILLIAMS DMD PA
Doing business as
Woodlawn Dental
Practice address
100 57TH St So
Birmingham, AL 35212
Phone
(205) 591-1101
Fax
(205) 592-0142
NPI assigned
Mar 21, 2008
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Benjamin WilliamsNPI 1710035886
Title
Owner
Phone
(205) 591-1101

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary
General Practice Dentistry 1223G0001X NU

Addresses

Primary practice location

100 57TH St So
Birmingham, AL 35212

Mailing address

100 57TH St So
Birmingham, AL 35212
Phone (205) 591-1101

Other identifiers 1

IdentifierTypeStateIssuer
529908410MedicaidAL

Other names 1

  • Woodlawn Dental Doing business as

National Provider Directory

National Provider Directory

Locations

100 57th St S
Birmingham, AL 35212
Phone (205) 591-1101

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1265603823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 57TH ST SO",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35212",
            "telephone_number": "205-591-1101",
            "fax_number": "205-592-0142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 57TH ST SO",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35212",
            "telephone_number": "205-591-1101",
            "fax_number": "205-592-0142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BENJAMIN D. WILLIAMS DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "205-591-1101"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529908410",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodlawn Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Woodlawn Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; 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.