Chase Jeffery Williams, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D14110 Issued in MN

Practice address

150 3Rd St NW
Wells, MN 56097-1021

Phone

(507) 553-5085

NPI assigned

Sep 22, 2018

Last updated

Sep 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1537574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537574400000",
    "number": "1477037703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "853 4TH AVE SW",
            "city": "WELLS",
            "state": "MN",
            "postal_code": "560971407",
            "telephone_number": "801-318-7941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 3RD ST NW",
            "city": "WELLS",
            "state": "MN",
            "postal_code": "560971021",
            "telephone_number": "507-553-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "CHASE",
        "middle_name": "JEFFERY",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-22",
        "last_updated": "2018-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D14110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrifty Drug Stores Inc. (Thrifty White Pharmacy #783)
• Tito's Lawn Care and Snow Removal (Tito Ramirez)
• Wells Cares LLC
• Wells Community Ambulance Service
• Wells Drug Co (Wells Drug)
• Heather Joline Yennie, RPH

• General Practice Dentistry in Wells, MN
• Providers in Wells, MN by specialty
• General Practice Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2018; 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.