NPIMap

Organization Active NPI

Williams Smith Hawkins Et Al

  • Dentist
  • Independence, MO
National Provider Identifier
1376909721
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
23533 Issued in MO
Legal business name
WILLIAMS SMITH HAWKINS ET AL
Doing business as
Dental Excellence
Practice address
19501 E US Highway 40
Independence, MO 64055-5475
Phone
(816) 795-9500
Fax
(816) 795-9501
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Matthew Wiley, DDS
Title
President
Phone
(816) 795-9500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 23533 MO Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

19501 E US Highway 40
Independence, MO 64055-5475

Mailing address

19501 E US Highway 40
Independence, MO 64055-5475
Phone (816) 795-9500

Other names 1

  • Dental Excellence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Dental Excellence2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1376909721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19501 E US HIGHWAY 40",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555475",
            "telephone_number": "816-795-9500",
            "fax_number": "816-795-9501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19501 E US HIGHWAY 40",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555475",
            "telephone_number": "816-795-9500",
            "fax_number": "816-795-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS SMITH HAWKINS ET AL",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "WILEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-795-9500",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "MO",
            "license": "23533",
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dental Excellence",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.