Individual provider Active NPI

Cecilia Maria Williams-Nelson, DDS.

  • General Practice Dentistry
  • Takoma Park, MD
National Provider Identifier
1437226131
Registry record updated Nov 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
11404 Issued in MD
Practice address
6480 New Hampshire Ave
Suite 302
Takoma Park, MD 20912-4716
Phone
(301) 270-9501
Fax
(301) 270-2715
NPI assigned
Nov 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 30, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 11404 MD Primary

Addresses

Primary practice location

6480 New Hampshire Ave
Suite 302
Takoma Park, MD 20912-4716

Mailing address

6480 New Hampshire Ave
Suite 302
Takoma Park, MD 20912-4716
Phone (301) 270-9501

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

LicenseStateTypeSpecialty
11404MDMDGeneral Practice Dentistry

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512000000000",
    "number": "1437226131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6480 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 302",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124716",
            "telephone_number": "301-270-9501",
            "fax_number": "301-270-2715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6480 NEW HAMPSHIRE AVE",
            "address_2": "SUITE 302",
            "city": "TAKOMA PARK",
            "state": "MD",
            "postal_code": "209124716",
            "telephone_number": "301-270-9501",
            "fax_number": "301-270-2715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-NELSON",
        "first_name": "CECILIA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "DDS.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-29",
        "last_updated": "2017-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MD",
            "license": "11404",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Takoma Park, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.