Individual provider Active NPI

Robert C Williams, DDS

  • General Practice Dentistry
  • Angwin, CA
National Provider Identifier
1336268077
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
21293 Issued in CA
Practice address
41 Angwin Plaza
Angwin, CA 94508
Phone
(707) 965-2479
Fax
(707) 965-0427
NPI assigned
Mar 27, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 21293 CA Primary

Addresses

Primary practice location

41 Angwin Plaza
Angwin, CA 94508

Mailing address

3212 Jefferson St.
Suite 196
Napa, CA 94558
Phone (707) 255-8825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110818000628 CA Practitioner - Oral SurgeryPractitioner - Dentist 8022292127 Reassigns benefits to 1 organization
Practice locations: Napa, CA
O20170125001352 CA DME Supplier - Oral Surgery - Dentist 3678855756 Practice locations: Napa, CA

Care Compare profile

Medicare Care Compare
Specialty
Oral SurgeryAlso: Dentist
Education
Loma Linda University School of Dentistry, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1000 Professional Dr
Napa, CA 94558-6410
Phone (707) 968-5442

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Newberry Dentistry Inc. General Practice CurrentSince Feb 15, 2025 Accepting new patients

Locations

3220 Beard Rd
Ste A
Napa, CA 94558
Phone (707) 255-2832

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336268077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 JEFFERSON ST.",
            "address_2": "SUITE 196",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "94558",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 ANGWIN PLAZA",
            "city": "ANGWIN",
            "state": "CA",
            "postal_code": "94508",
            "telephone_number": "707-965-2479",
            "fax_number": "707-965-0427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBERT",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "21293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Angwin, CA

Sources for this page

Verify at the official NPI Registry.