John F Williams, CO

Primary specialty

OrthotistTaxonomy code 222Z00000X

License

C53454

Practice address

1465 Woodbury Ave # 667
Portsmouth, NH 03801-3210

Phone

(949) 371-7443

Fax

(603) 607-5001

NPI assigned

Sep 29, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

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

{
    "created_epoch": "1632873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1295407179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 WOODBURY AVE # 667",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013210",
            "telephone_number": "949-371-7443",
            "fax_number": "603-607-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 WOODBURY AVE # 667",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038013210",
            "telephone_number": "949-371-7443",
            "fax_number": "603-607-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JOHN",
        "middle_name": "F",
        "credential": "CO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-29",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Z00000X",
            "taxonomy_group": "",
            "desc": "Orthotist",
            "state": null,
            "license": "C53454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "port-ortho.com",
            "affiliation": "N",
            "endpointDescription": "O&P",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1465 Woodbury Ave # 667",
            "city": "Portsmouth",
            "state": "NH",
            "country_code": "US",
            "postal_code": "038013210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Darci Wilder
• William Randi DDS PLLC
• Bradley James Williams, MD
• Jennifer Williams, PT, DPT, CLT-LANA
• Joel Williams
• Karyn Williams
• Lauren Williams, RD, LD
• Marcia L. Wills, MD
• Judy Lynn Wilson Kibbe, RCP
• Heather Marie Wilson, LICENSED NURSE ASST

• Orthotist in Portsmouth, NH
• Providers in Portsmouth, NH by specialty
• Orthotist in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.