Organization Active NPI

Nicholas J. Williams, DDS, a Professional Corporation

  • Dentist
  • Redlands, CA
National Provider Identifier
1487043956
Registry record updated Jan 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57100 Issued in CA
Legal business name
NICHOLAS J. WILLIAMS, DDS, A PROFESSIONAL CORPORATION
Practice address
9946 Alabama St
Redlands, CA 92374-2036
Phone
(909) 748-7149
Fax
(909) 748-4560
NPI assigned
Jan 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2015

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

Authorized official

Name
Nicholas J Williams
Title
DDS/Practice Owner
Phone
(909) 748-7149

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193400000X SINGLE SPECIALTY GROUP 122300000X 57100 CA Primary

Addresses

Primary practice location

9946 Alabama St
Redlands, CA 92374-2036

Mailing address

9946 Alabama St
Redlands, CA 92374-2036
Phone (909) 748-7149

National Provider Directory

National Provider Directory
Tax ID family
Caroline Le DDS a Professional Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9946 Alabama St
Redlands, CA 92374
Phone (909) 748-7149

NPI Registry JSON

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

{
    "created_epoch": "1421798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421798400000",
    "number": "1487043956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9946 ALABAMA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742036",
            "telephone_number": "909-748-7149",
            "fax_number": "909-748-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9946 ALABAMA ST",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742036",
            "telephone_number": "909-748-7149",
            "fax_number": "909-748-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS J. WILLIAMS, DDS, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-21",
        "last_updated": "2015-01-21",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "DDS/PRACTICE OWNER",
        "authorized_official_telephone_number": "909-748-7149"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "57100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2015; 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.