Ryan Williams, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DEN.00205088 Issued in CO

Practice address

421 W 104TH Ave Ste 201
Northglenn, CO 80234-4138

Phone

(303) 872-5970

NPI assigned

Jun 15, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654732800000",
    "number": "1407424518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE STE 201",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344138",
            "telephone_number": "303-872-5970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "421 W 104TH AVE STE 201",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802344138",
            "telephone_number": "303-872-5970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2592 S 5600 W Ste 102",
            "address_purpose": "LOCATION",
            "city": "West Valley City",
            "state": "UT",
            "postal_code": "841201274",
            "country_code": "US",
            "telephone_number": "801-603-2904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-15",
        "last_updated": "2022-06-09",
        "certification_date": "2022-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "12337224-9922",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "DEN.00205088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fredrick Carl Widman, CAC II, CADC II, CDP
• Jamie Salina Williams, LCSW
• Jessica Williams
• Molly Ann Williams, M.A. CCC-SLP
• Rachel Williams
• Samantha Williams
• Sharla D Williams, B.S.
• Tracy Williams II
• Katherine Aurora Willie, MD
• Michele C Willingham, MA, LPC, LAC

• Dentist in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.