Individual provider Active NPI

Matthew Alan Williams, D.M.D.

  • Dentist
  • San Antonio, TX
National Provider Identifier
1457494809
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5983 Issued in KY
Practice address
7430 Louis Pasteur Dr
TX Dept. of State Health Services, Oral Health Program
San Antonio, TX 78229-4507
Phone
(210) 949-2124
Fax
(210) 949-2041
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 18403 TX
Dentist 122300000X 5983 KY Primary
Public Health Dentistry 1223D0001X 18403 TX

Addresses

Primary practice location

7430 Louis Pasteur Dr
TX Dept. of State Health Services, Oral Health Program
San Antonio, TX 78229-4507

Mailing address

11130 Quail Rise
San Antonio, TX 78249-3334
Phone (210) 690-1843

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
5983KYMDDentist
18403TXMDPublic Health Dentist

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1457494809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11130 QUAIL RISE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782493334",
            "telephone_number": "210-690-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7430 LOUIS PASTEUR DR",
            "address_2": "TX DEPT. OF STATE HEALTH SERVICES, ORAL HEALTH PROGRAM",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294507",
            "telephone_number": "210-949-2124",
            "fax_number": "210-949-2041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MATTHEW",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "18403",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "5983",
            "primary": true
        },
        {
            "code": "1223D0001X",
            "taxonomy_group": "",
            "desc": "Dentist, Dental Public Health",
            "state": "TX",
            "license": "18403",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.