NPIMap

Organization Active NPI

Williams Family Dentistry

  • General Practice Dentistry
  • Malvern, AR
National Provider Identifier
1467785451
Registry record updated Jan 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
2031 Issued in AR
Legal business name
WILLIAMS FAMILY DENTISTRY
Practice address
372 Coral Rd
Malvern, AR 72104-7108
Phone
(501) 337-9212
Fax
(501) 337-0280
NPI assigned
Sep 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2011

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

Authorized official

Name
Nicholas M Freeman
Title
Office Manager
Phone
(501) 337-9212

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 2031 AR Primary

Addresses

Primary practice location

372 Coral Rd
Malvern, AR 72104-7108

Mailing address

PO Box 278
Malvern, AR 72104-0278
Phone (501) 337-9212

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294704000000",
    "number": "1467785451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 278",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721040278",
            "telephone_number": "501-337-9212",
            "fax_number": "501-337-0280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 CORAL RD",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721047108",
            "telephone_number": "501-337-9212",
            "fax_number": "501-337-0280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2011-01-11",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "501-337-9212"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "AR",
            "license": "2031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.