Active NPI
James M. Williams, D.D.S., P.a.
- Dental Clinic/Center
- Mora, MN
National Provider Identifier
1376143248
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Clinic/Center
- 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, 2020
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Dentist
- Mora, MN
- NPI 1467407502
-
- Dentist
- Mora, MN
- NPI 1942359278
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.