Dallas Odell Williams

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

175T00000X Issued in WV

Practice address

6189 Rosalind Rd
Huntington, WV 25705-2324

Phone

(304) 948-5004

Fax

(304) 948-5068

NPI assigned

Jun 27, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1656288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1396477667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "554 ROBY RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257051603",
            "telephone_number": "814-516-6095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6189 ROSALIND RD",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052324",
            "telephone_number": "304-948-5004",
            "fax_number": "304-948-5068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "DALLAS",
        "middle_name": "ODELL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-27",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "175T00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Laptop",
            "affiliation": "N",
            "endpointDescription": "Personal Laptop",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6189 Rosalind Rd",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257052324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• William T. Myers, DDS, Inc
• Alexiana Williams
• Amy C Williams, MS CCC-S
• Ashley Williams
• Ashley Lynnette Williams
• Erika Williams
• Hannah Noel Williams, PHARMD
• Ireda Lynn Williams
• Jaymi Williams
• Jessica L Williams, LPC LSW MA

• Peer Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2022; 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.