Active NPI
Anthony Joseph Williams, DDS
- General Practice Dentistry
- Beckley, WV
National Provider Identifier
1356497424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- WV3584
- Practice address
- 200 Stanaford Road
Beckley, WV 25801 - Phone
- (304) 252-4141
- Fax
- (304) 252-4316
- NPI assigned
- Jan 25, 2007
- Sex
- Male
- 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 | WV3584 | WV | Primary |
Addresses
Primary practice location
200 Stanaford Road
Beckley, WV 25801
Mailing address
200 Stanaford Road
Beckley, WV 25801
Phone (304) 252-4141
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3810001743 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150616000296 | WV | Order and Referring Only - Oral Surgery | 4981915147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| WV3584 | WV | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367452800000",
"number": "1356497424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 STANAFORD ROAD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-252-4141",
"fax_number": "304-252-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 STANAFORD ROAD",
"city": "BECKLEY",
"state": "WV",
"postal_code": "25801",
"telephone_number": "304-252-4141",
"fax_number": "304-252-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANTHONY",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-25",
"last_updated": "2013-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "WV",
"license": "WV3584",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810001743",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Beckley, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.