Terry Ryan Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DS039892 Issued in PA

Practice address

4129 Locust LN
Harrisburg, PA 17109-4120

Phone

(717) 657-3326

NPI assigned

Mar 27, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Friedman DMD & Grater DMD, PC

  • General Practice Dentistry
  • Harrisburg, PA
  • NPI 1952550683
  NPD (past)

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566518400000",
    "number": "1265775399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4129 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094120",
            "telephone_number": "717-657-3326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TERRY",
        "middle_name": "RYAN",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-27",
        "last_updated": "2019-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "PA",
            "license": "DS039892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ying Williams, MD
• John David Williams, CMT
• Julie Mecole Williams
• Shari Nicole Williams, PHARMD
• Steven H Williams, PH.D.
• Tiandra Williams, CRNP
• Victoria Williams
• Yolanda K Williams, RDN, LDN
• Shannon Williard
• Roy Alan Willis, D.D.S.

• General Practice Dentistry in Harrisburg, PA
• Providers in Harrisburg, PA by specialty
• General Practice Dentistry in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.