Individual provider Active NPI

Carlos Williams, BA, BHRS

  • Home Modifications Contractor
  • Oklahoma City, OK
National Provider Identifier
1467743534
Registry record updated Apr 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Modifications ContractorTaxonomy code 171WH0202X
License
L081688491 Issued in OK
Practice address
12205 Stratford Dr
Oklahoma City, OK 73120-7801
Phone
(405) 837-1065
NPI assigned
Apr 25, 2011
Last updated
Apr 25, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X NU
Home Modifications Contractor 171WH0202X L081688491 OK Primary

Addresses

Primary practice location

12205 Stratford Dr
Oklahoma City, OK 73120-7801

Mailing address

12205 Stratford Dr
Oklahoma City, OK 73120-7801
Phone (405) 837-1065

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
Credentials
Bachelor of Arts

State licenses

LicenseStateTypeSpecialty
L081688491OKMDHome Modifications Contractor

Practice roles

OrganizationSpecialtyStatusNew patients
Urban Advantage Past Accepting new patients

Organizations & group practices 1

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": "1303689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303689600000",
    "number": "1467743534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12205 STRATFORD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207801",
            "telephone_number": "405-837-1065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12205 STRATFORD DR",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731207801",
            "telephone_number": "405-837-1065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CARLOS",
        "name_prefix": "Mr.",
        "credential": "BA, BHRS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-25",
        "last_updated": "2011-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "OK",
            "license": "L081688491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.