Active NPI
Michael N Williams DDS PA
- Dentist
- Wichita, KS
National Provider Identifier
1457676827
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 5597
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Michael Neal Williams, DDS
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100221620A | Medicaid | KS | |
| 200548610C | Medicaid | KS |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Public Health Dentistry
- Wichita, KS
- NPI 1457387359
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
- Michael D Gordon OD PA
- Michael F Lloyd DO PA
- Michael H. Munhall, M.D. (Wichita Integrative Medicine)
- Michael M Vesali MD P a
- Michael M. Vesali MD, P.a (Comprehensive Sleep Disorders & Neurodiagnostic Center of Kansas)
- Michael Parsons & Associates Eyecare Group, P.a.
- Rodney Michael
- Kellie Michaud, LMSW
- Alexis Nicole Michel
- Robert Michel
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.