NPIMap

Organization Active NPI

Mitchell Williams DDS, PLLC

  • General Practice Dentistry
  • Centennial, CO
National Provider Identifier
1386118040
Registry record updated Aug 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
MITCHELL WILLIAMS DDS, PLLC
Doing business as
Colorado Wellness Dentistry
Practice address
9085 E Mineral Cir Ste 220
Centennial, CO 80112-3400
Phone
(303) 798-1068
NPI assigned
Jan 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2021

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

Authorized official

Name
Dr. Mitchell Jared Williams, DDSNPI 1639377955
Title
Owner
Phone
(303) 798-1068

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

9085 E Mineral Cir Ste 220
Centennial, CO 80112-3400

Mailing address

9085 E Mineral Cir Ste 220
Centennial, CO 80112-3400
Phone (303) 798-1068

Other names 1

  • Colorado Wellness Dentistry Doing business as

National Provider Directory

National Provider Directory

Locations

9085 E Mineral Cir
Ste 220
Centennial, CO 80112
Phone (303) 798-1068

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1547596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1386118040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123400",
            "telephone_number": "303-798-1068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123400",
            "telephone_number": "303-798-1068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MITCHELL WILLIAMS DDS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-16",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "JARED",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-798-1068",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Colorado Wellness Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Colorado Wellness Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Centennial, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.