Active NPI
Amelia Marie Williams, D.D.S.
- General Practice Dentistry
- Irving, TX
National Provider Identifier
1346258860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 20105
- Practice address
- 1901 W Irving Blvd
Irving, TX 75061-6823 - Phone
- (972) 870-5800
- Fax
- (214) 596-0195
- NPI assigned
- Aug 3, 2006
- Last updated
- Oct 1, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 20105 | TX | Primary |
Addresses
Primary practice location
1901 W Irving Blvd
Irving, TX 75061-6823
Mailing address
1901 W Irving Blvd
Irving, TX 75061-6823
Phone (972) 870-5800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 156256301 | Medicaid | TX | |
| 169274101 | Medicaid | TX | |
| 169274102 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20105 | TX | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412121600000",
"number": "1346258860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 W IRVING BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750616823",
"telephone_number": "972-870-5800",
"fax_number": "214-596-0195"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 W IRVING BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750616823",
"telephone_number": "972-870-5800",
"fax_number": "214-596-0195"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "AMELIA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-03",
"last_updated": "2014-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "20105",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "156256301",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169274101",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "169274102",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
- Steven I. Wilkofsky, M.D.
- Willamette Monitoring LLC
- Paula Mary Willett, NURSE PRACTITIONER
- Williams Square Dental, PLLC (Williams Square Dental Group)
- Melissa A Williams-Tauriac, O.D.
- Audrey Christine Williams
- Bianca Danyell Williams, OTR, OTD
- Brittany Williams
- Caryss Leigh Williams, LCSW
- Colina Williams, NP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.