Kelli McWilliams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

7281 Issued in CO

Practice address

132 Walnut Ave Ste E
Grand Junction, CO 81501-7483

Phone

(970) 243-2025

Fax

(970) 243-2027

NPI assigned

Jan 4, 2012

Last updated

Jan 4, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• John P Poovey DMD PC

  dba A New You Center for Dentures & Implants

  • General Practice Dentistry
  • Grand Junction, CO
  • NPI 1447344312
  NPD (past)

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1295005494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE SUITE E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "81501",
            "telephone_number": "970-243-2025",
            "fax_number": "970-243-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 WALNUT AVE STE E",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815017483",
            "telephone_number": "970-243-2025",
            "fax_number": "970-243-2027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCWILLIAMS",
        "first_name": "KELLI",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "7281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn E McNees, RPH, MS
• Nanette Gaye McNees, R. PH.
• Amber Lynn McPhail
• Kate McPhail, LPC
• Amanda Louise McRae, RN
• Troas James McWilliams
• Stephen R Meacham, M.D.
• Ellen Marie Mead, P.T.
• Rachael Lyn Meadows, LPC
• Jo-an Kay Mealler, M.S. CCC-A

• General Practice Dentistry in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; 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.