Active NPI
Benjamin J Williams, DDS
- General Practice Dentistry
- Raleigh, NC
National Provider Identifier
1417963406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 2901018856
- Practice address
- 9051 Strickland Rd
Suite 131
Raleigh, NC 27615-2084 - Phone
- (919) 615-3755
- NPI assigned
- Jul 31, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 2901018856 | MI | Primary |
| Dentist | 122300000X | 9190 | TN |
Addresses
Primary practice location
9051 Strickland Rd
Suite 131
Raleigh, NC 27615-2084
Mailing address
1274 Wheatley Forest Dr
Brentwood, TN 37027-8342
Phone (214) 952-7611
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4621665 | Medicaid | MI | |
| D188560 | Other | MI | BCBSM |
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 |
|---|---|---|---|
| 9190 | TN | MD | Dentist |
| 2901018856 | MI | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414454400000",
"number": "1417963406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1274 WHEATLEY FOREST DR",
"city": "BRENTWOOD",
"state": "TN",
"postal_code": "370278342",
"telephone_number": "214-952-7611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9051 STRICKLAND RD",
"address_2": "SUITE 131",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276152084",
"telephone_number": "919-615-3755"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BENJAMIN",
"middle_name": "J",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2014-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "MI",
"license": "2901018856",
"primary": true
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TN",
"license": "9190",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4621665",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "D188560",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.