Active NPI
Christopher Williams, DDS
- General Practice Dentistry
- Highland, AR
National Provider Identifier
1417486887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 4179
- Practice address
- 1474 Highway 62 412
Highland, AR 72542-9170 - Phone
- (870) 856-4050
- NPI assigned
- Jun 8, 2017
- Last updated
- Aug 7, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 4179 | AR | Primary |
Addresses
Primary practice location
1474 Highway 62 412
Highland, AR 72542-9170
Mailing address
PO Box 3450
Little Rock, AR 72203-3450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 220472608 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4179 | AR | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Axpm- Highland Dental PLLC | General Practice | Past | Accepting new patients |
| Highland Family Dentistry, Inc. | General Practice | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Rock Family Dental-Highland
- General Practice Dentistry
- Highland, AR
- NPI 1063957728
-
- General Practice Dentistry
- Highland, AR
- NPI 1225242464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1496880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502064000000",
"number": "1417486887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3450",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722033450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1474 HIGHWAY 62 412",
"city": "HIGHLAND",
"state": "AR",
"postal_code": "725429170",
"telephone_number": "870-856-4050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISTOPHER",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-06-08",
"last_updated": "2017-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "AR",
"license": "4179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220472608",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Highland, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.