Organization Active NPI

Michael N Williams DDS PA

  • Dentist
  • Wichita, KS
National Provider Identifier
1457676827
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
5597 Issued in KS
Legal business name
MICHAEL N WILLIAMS DDS PA
Practice address
4902 E 21St St N
Wichita, KS 67208-1601
Phone
(316) 684-1470
Fax
(316) 684-3584
NPI assigned
Mar 29, 2010
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

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

Authorized official

Name
Dr. Michael Neal Williams, DDSNPI 1457387359
Title
Dentist
Phone
(316) 684-1470

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 60536 KS
Dentist 122300000X 5597 KS Primary

Addresses

Primary practice location

4902 E 21St St N
Wichita, KS 67208-1601

Mailing address

4902 E 21St
Wichita, KS 67208-1601
Phone (316) 684-1470

Other identifiers 2

IdentifierTypeStateIssuer
100221620AMedicaidKS
200548610CMedicaidKS

National Provider Directory

National Provider Directory

Locations

4902 E 21st St N
Wichita, KS 67208
Phone (316) 684-1470

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1457676827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4902 E 21ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081601",
            "telephone_number": "316-684-1470",
            "fax_number": "316-684-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4902 E 21ST ST N",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672081601",
            "telephone_number": "316-684-1470",
            "fax_number": "316-684-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL N WILLIAMS DDS PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-29",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "NEAL",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "316-684-1470",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "60536",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KS",
            "license": "5597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100221620A",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200548610C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; 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.