Organization Active NPI

Williamson Pediatric Dentistry

  • Pediatric Dentistry
  • Spring Hill, TN
National Provider Identifier
1346598042
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric DentistryTaxonomy code 1223P0221X
License
9332 Issued in TN
Legal business name
WILLIAMSON PEDIATRIC DENTISTRY
Practice address
2055 Wall Street
Spring Hill, TN 37174
Phone
(615) 614-1258
NPI assigned
Aug 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Dr. Carl Andrew Williamson, D.M.D, M.S.D.NPI 1073773594
Title
President & Ceo / Pediatric Dentist
Phone
(931) 626-7989

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223P0221X 9332 TN Primary

Addresses

Primary practice location

2055 Wall Street
Spring Hill, TN 37174

Mailing address

1016 Williford CT
Spring Hill, TN 37174-6122
Phone (615) 614-1258

National Provider Directory

National Provider Directory

Locations

2055 Wall St
Spring Hill, TN 37174
Phone (615) 614-1258

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1346112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1346598042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 WILLIFORD CT",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "371746122",
            "telephone_number": "615-614-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 WALL STREET",
            "city": "SPRING HILL",
            "state": "TN",
            "postal_code": "37174",
            "telephone_number": "615-614-1258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMSON PEDIATRIC DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-28",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "WILLIAMSON",
        "authorized_official_first_name": "CARL",
        "authorized_official_middle_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT & CEO / PEDIATRIC DENTIST",
        "authorized_official_telephone_number": "931-626-7989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.M.D, M.S.D."
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "TN",
            "license": "9332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Hill, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2012; 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.