Roger Dale Williams VI

Primary specialty

Other TechnicianTaxonomy code 247200000X

Practice address

6300 Montgomery Blvd NE
W128
Albuquerque, NM 87109-1422

Phone

(505) 463-7175

NPI assigned

Jun 2, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1376991182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 MONTGOMERY BLVD NE",
            "address_2": "W128",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091422",
            "telephone_number": "505-463-7175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 MONTGOMERY BLVD NE",
            "address_2": "W128",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871091422",
            "telephone_number": "505-463-7175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ROGER",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "name_suffix": "VI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha K Williams
• Nicole Williams, RN
• Oksana Williams
• Paul Williams, LMSW
• Robert Williams, MD
• Samantha Kirie Williams, LCSW
• Sarah M. Williams, MS, CCC-SLP
• Seth P Williams, APRN,FNP
• Shawna Williams, LSAA
• Steven Williams

• Other Technician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Other Technician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.