Individual provider Active NPI

Robin Williams, DMD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Biloxi, MS
National Provider Identifier
1346324001
Registry record updated Apr 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
4334-22 Issued in MS
Practice address
2650 Beach Blvd
Biloxi, MS 39531-4517
Phone
(228) 400-4722
NPI assigned
Oct 25, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 4334-22 MS Primary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 51011 CA
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X OR-6028-22 MS

Addresses

Primary practice location

2650 Beach Blvd
Biloxi, MS 39531-4517

Mailing address

2650 Beach Blvd
Biloxi, MS 39531-4517
Phone (228) 400-4722

Other identifiers 4

IdentifierTypeStateIssuer
51011OtherCADENTAL BOARD OF CALIFORNI
4334-22OtherMSDENTAL BOARD MISSISSIPPI
051724OtherNYNYSED/OP
OR-6028-22OtherMSDENTAL BOARD MISSISSIPPI SPECIALTY

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

LicenseStateTypeSpecialty
4334-22MSMDOrthodontics and Dentofacial Orthopedic Dentist
OR-6028-22MSMDOrthodontics and Dentofacial Orthopedic Dentist
51011CAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Maurice D. Simanian, DDS Inc Orthodontics and Dentofacial Orthopedics 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681689600000",
    "number": "1346324001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 BEACH BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314517",
            "telephone_number": "228-400-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 BEACH BLVD",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395314517",
            "telephone_number": "228-400-4722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROBIN",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "4334-22",
            "primary": true
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "51011",
            "primary": false
        },
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MS",
            "license": "OR-6028-22",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD OF CALIFORNI",
            "identifier": "51011",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD MISSISSIPPI",
            "identifier": "4334-22",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYSED/OP",
            "identifier": "051724",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTAL BOARD MISSISSIPPI SPECIALTY",
            "identifier": "OR-6028-22",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Biloxi, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.