Organization Active NPI

James M. Williams, D.D.S., P.a.

  • Dental Clinic/Center
  • Mora, MN
National Provider Identifier
1376143248
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
JAMES M. WILLIAMS, D.D.S., P.A.
Practice address
620 Union St S
Mora, MN 55051-1818
Phone
(320) 679-3073
NPI assigned
Oct 29, 2020
Last updated
Oct 29, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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

Authorized official

Name
Susan Williams
Title
Bookkeeper
Phone
(320) 237-6251

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X NU Primary

Addresses

Primary practice location

620 Union St S
Mora, MN 55051-1818

Mailing address

620 Union St S
Mora, MN 55051-1818

National Provider Directory

National Provider Directory

Locations

620 Union St S
Mora, MN 55051
Phone (320) 679-3073

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1603929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603929600000",
    "number": "1376143248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 UNION ST S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 UNION ST S",
            "city": "MORA",
            "state": "MN",
            "postal_code": "550511818",
            "telephone_number": "320-679-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES M. WILLIAMS, D.D.S., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-29",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BOOKKEEPER",
        "authorized_official_telephone_number": "320-237-6251"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mora, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.