Active NPI
Paul Michael Williams, D.D.S.
- Dentist
- Bronx, NY
National Provider Identifier
1427440445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 058514
- Practice address
- 2100 Bartow Ave
218B
Bronx, NY 10475-4614 - Phone
- (646) 961-3485
- NPI assigned
- Feb 27, 2015
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dentist | 122300000X | 058514 | NY | Primary |
Addresses
Primary practice location
2100 Bartow Ave
218B
Bronx, NY 10475-4614
Mailing address
2100 Bartow Ave
218B
Bronx, NY 10475-4614
Phone (718) 902-4431
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 |
|---|---|---|---|
| 058514 | NY | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489708800000",
"number": "1427440445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 BARTOW AVE",
"address_2": "218B",
"city": "BRONX",
"state": "NY",
"postal_code": "104754614",
"telephone_number": "718-902-4431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 BARTOW AVE",
"address_2": "218B",
"city": "BRONX",
"state": "NY",
"postal_code": "104754614",
"telephone_number": "646-961-3485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "PAUL",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-02-27",
"last_updated": "2017-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "NY",
"license": "058514",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.