Stanley P Williamson, D.D.S.

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

D9907 Issued in MN

Practice address

5101 Vernon Ave S
502
Edina, MN 55436-2172

Phone

(952) 926-3747

Fax

(952) 926-0701

NPI assigned

Nov 2, 2006

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)

Not enrolled

State licenses

Practice roles

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

• Stanley P. Williamson, D.D.S., P.a.

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
  • NPI 1356586804
  NPD (past) Authorized official
• Pan Orthodontic Clinics

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Edina, MN
  • NPI 1396089298
  NPD (past)

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

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497833545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 VERNON AVE S",
            "address_2": "502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362172",
            "telephone_number": "952-926-3747",
            "fax_number": "952-926-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5101 VERNON AVE S",
            "address_2": "502",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554362172",
            "telephone_number": "952-926-3747",
            "fax_number": "952-926-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "STANLEY",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "MN",
            "license": "D9907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Williams
• Sheri Lynn Williams, MD
• Thomas Eugene Williams, MSW LICSW
• Timyia Antionette Williams
• Krista Williamson, PT
• Sandra T Willis Curry, M.D.
• Joanna Willis, L.AC.
• Ted S Willis, MD
• Linda K Wilmarth, MD
• Jeffrey Lee Wilson, D.O.

• Orthodontics and Dentofacial Orthopedics Dentistry in Edina, MN
• Providers in Edina, MN by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.