Active NPI
Robin Williams, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Biloxi, MS
National Provider Identifier
1346324001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 4334-22
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51011 | Other | CA | DENTAL BOARD OF CALIFORNI |
| 4334-22 | Other | MS | DENTAL BOARD MISSISSIPPI |
| 051724 | Other | NY | NYSED/OP |
| OR-6028-22 | Other | MS | DENTAL 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
| License | State | Type | Specialty |
|---|---|---|---|
| 4334-22 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| OR-6028-22 | MS | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 51011 | CA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Orthodontics and Dentofacial Orthopedics Dentistry
- Concord, CA
- NPI 1578074472
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.