Organization Active NPI

Jonathan Williams DMD, MD, Inc.

Doing business as Jonathan Williams DMD MD

  • Oral and Maxillofacial Surgery (Dentist)
  • Columbus, OH
National Provider Identifier
1457871410
Registry record updated Feb 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
JONATHAN WILLIAMS DMD, MD, INC.
Doing business as
Jonathan Williams DMD MD
Practice address
3545 Olentangy River Rd Ste 125
Columbus, OH 43214-3996
Phone
(614) 267-0385
NPI assigned
Jun 21, 2017
Last updated
Feb 16, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2023

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

Authorized official

Name
Dr. Jonathan Travis Williams, DMD, MDNPI 1396973236
Title
President
Phone
(216) 269-9833

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist)Group: 193400000X SINGLE SPECIALTY GROUP 1223S0112X Primary

Addresses

Primary practice location

3545 Olentangy River Rd Ste 125
Columbus, OH 43214-3996

Mailing address

40 Ashbourne Dr
Westlake, OH 44145-8122

Other names 1

  • Jonathan Williams DMD MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1498003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1457871410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ASHBOURNE DR",
            "city": "WESTLAKE",
            "state": "OH",
            "postal_code": "441458122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 OLENTANGY RIVER RD STE 125",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432143996",
            "telephone_number": "614-267-0385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN WILLIAMS DMD, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-21",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-14",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "TRAVIS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "216-269-9833",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD, MD"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jonathan Williams DMD MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.