Organization Active NPI

Steve and Harley Williams DDS PC

  • Endodontics
  • Livermore, CA
National Provider Identifier
1417694845
Registry record updated May 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
EndodonticsTaxonomy code 1223E0200X
Legal business name
STEVE AND HARLEY WILLIAMS DDS PC
Practice address
999 E Stanley Blvd Ste C
Livermore, CA 94550-4050
Phone
(925) 371-0300
NPI assigned
May 17, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2023

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

Authorized official

Name
Vicenta Reyes
Title
Lead of Credentialing
Phone
(972) 869-3789

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
EndodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223E0200X Primary
PeriodonticsGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1223P0300X

Addresses

Primary practice location

999 E Stanley Blvd Ste C
Livermore, CA 94550-4050

Mailing address

999 E Stanley Blvd Ste C
Livermore, CA 94550-4050
Phone (925) 371-0300

Other names 1

  • Roots and Gums Doing business as

National Provider Directory

National Provider Directory

Locations

999 E Stanley Blvd
Ste C
Livermore, CA 94550
Phone (925) 258-8450

Practitioners & affiliated clinicians

Practitioners 1

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": "1652745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1682985600000",
    "number": "1417694845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "999 E STANLEY BLVD STE C",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504050",
            "telephone_number": "925-371-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "999 E STANLEY BLVD STE C",
            "city": "LIVERMORE",
            "state": "CA",
            "postal_code": "945504050",
            "telephone_number": "925-371-0300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVE AND HARLEY WILLIAMS DDS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-17",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "VICENTA",
        "authorized_official_title_or_position": "LEAD OF CREDENTIALING",
        "authorized_official_telephone_number": "972-869-3789"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, Periodontics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Roots and Gums",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Livermore, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.