Active NPI
Edward Donald Williams, DPM
- Podiatrist
- Santa Fe, NM
National Provider Identifier
1457362121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 111
- Practice address
- 2019 Galisteo St Ste K
Santa Fe, NM 87505-2159 - Phone
- (505) 982-0123
- Fax
- (505) 982-5714
- NPI assigned
- Aug 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 111 | NM | Primary |
Addresses
Primary practice location
2019 Galisteo St Ste K
Santa Fe, NM 87505-2159
Mailing address
2019 Galisteo St Ste K
Santa Fe, NM 87505-2159
Phone (505) 982-0123
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10001192 | Other | NM | LOVELACE HEALTH PLAN |
| 201010782 | Other | NM | PRESBYTERIAN HEALTH PLAN |
| 52969 | Medicaid | NM | |
| NM025315 | Other | NM | BLUE CROSS BLUE SHIELD |
| PROVP16761 | Other | NM | MOLINA |
| 480005324 | Other | NM | RAILROAD MEDICARE |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155168000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392336000000",
"number": "1457362121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST STE K",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052159",
"telephone_number": "505-982-0123",
"fax_number": "505-982-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2019 GALISTEO ST STE K",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875052159",
"telephone_number": "505-982-0123",
"fax_number": "505-982-5714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "EDWARD",
"middle_name": "DONALD",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-10",
"last_updated": "2014-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NM",
"license": "111",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOVELACE HEALTH PLAN",
"identifier": "10001192",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRESBYTERIAN HEALTH PLAN",
"identifier": "201010782",
"state": "NM"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "52969",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "NM025315",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "PROVP16761",
"state": "NM"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "480005324",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 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.