Individual provider Active NPI

Cecily Michelle Mercadel-Williams, D.D.S.

  • General Practice Dentistry
  • Nashville, TN
National Provider Identifier
1275878803
Registry record updated Dec 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7602 Issued in TN
Practice address
197 Thompson LN
Suite E
Nashville, TN 37211-2415
Phone
(615) 837-4525
Fax
(615) 837-6732
NPI assigned
Dec 7, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 7602 TN Primary

Addresses

Primary practice location

197 Thompson LN
Suite E
Nashville, TN 37211-2415

Mailing address

197 Thompson LN
Suite E
Nashville, TN 37211-2415
Phone (615) 837-4525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160603000849 TN Order and Referring Only - Other (Non-Physician) 3971893983

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7602TNMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1354838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354838400000",
    "number": "1275878803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 THOMPSON LN",
            "address_2": "SUITE E",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112415",
            "telephone_number": "615-837-4525",
            "fax_number": "615-837-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 THOMPSON LN",
            "address_2": "SUITE E",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372112415",
            "telephone_number": "615-837-4525",
            "fax_number": "615-837-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADEL-WILLIAMS",
        "first_name": "CECILY",
        "middle_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-07",
        "last_updated": "2012-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TN",
            "license": "7602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.