Individual provider Active NPI

Scott Eric Williams, DDS

  • Dentist
  • Zanesville, OH
National Provider Identifier
1467697904
Registry record updated Dec 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
19202 Issued in OH
Practice address
1100 Brandywine Blvd
BLDG. C
Zanesville, OH 43701-7303
Phone
(740) 454-1167
Fax
(740) 454-1358
NPI assigned
Dec 12, 2008
Last updated
Dec 12, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 19202 OH Primary

Addresses

Primary practice location

1100 Brandywine Blvd
BLDG. C
Zanesville, OH 43701-7303

Mailing address

1100 Brandywine Blvd
BLDG. C
Zanesville, OH 43701-7303
Phone (740) 454-1167

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160524000991 OH Order and Referring Only - DentistPractitioner - Dentist 6901195304

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19202OHMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Scott E Williams DDS Inc Past Accepting new patients
Zanesville Dental LLC Dentist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1229040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229040000000",
    "number": "1467697904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 BRANDYWINE BLVD",
            "address_2": "BLDG. C",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017303",
            "telephone_number": "740-454-1167",
            "fax_number": "740-454-1358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BRANDYWINE BLVD",
            "address_2": "BLDG. C",
            "city": "ZANESVILLE",
            "state": "OH",
            "postal_code": "437017303",
            "telephone_number": "740-454-1167",
            "fax_number": "740-454-1358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "SCOTT",
        "middle_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-12",
        "last_updated": "2008-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "OH",
            "license": "19202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zanesville, OH

Sources for this page

Verify at the official NPI Registry.