Individual provider Active NPI

Auston Culeigh Williams III, DDS

  • General Practice Dentistry
  • Dunn, NC
National Provider Identifier
1346262805
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
7504 Issued in NC
Practice address
601 W Broad St
Suite C
Dunn, NC 28334-4861
Phone
(910) 892-3145
NPI assigned
Jul 24, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

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 7504 NC Primary

Addresses

Primary practice location

601 W Broad St
Suite C
Dunn, NC 28334-4861

Mailing address

601 W Broad St
Suite C
Dunn, NC 28334-4861
Phone (910) 892-3145

Other identifiers 1

IdentifierTypeStateIssuer
89902C7MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160412001881 NC Order and Referring Only - Oral SurgeryPractitioner - Oral Surgery 2062710890

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7504NCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
A.C. Williams, D.D.S., P.a. General Practice Past Accepting new patients

Organizations & group practices 1

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346262805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "address_2": "SUITE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 W BROAD ST",
            "address_2": "SUITE C",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283344861",
            "telephone_number": "910-892-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS III",
        "first_name": "AUSTON",
        "middle_name": "CULEIGH",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "7504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89902C7",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.