Individual provider Active NPI

Benjamin Clay Williamson, D.D.S.

  • General Practice Dentistry
  • Corpus Christi, TX
National Provider Identifier
1497899942
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
20880 Issued in TX
Practice address
5325 Saratoga Blvd
Suite 230
Corpus Christi, TX 78413-2836
Phone
(361) 994-7645
Fax
(361) 994-7646
NPI assigned
Feb 17, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 20880 TX Primary

Addresses

Primary practice location

5325 Saratoga Blvd
Suite 230
Corpus Christi, TX 78413-2836

Mailing address

5325 Saratoga Blvd
Suite 230
Corpus Christi, TX 78413-2836
Phone (361) 994-7645

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

State licenses

LicenseStateTypeSpecialty
20880TXMDGeneral Practice Dentistry

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497899942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 SARATOGA BLVD",
            "address_2": "SUITE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132836",
            "telephone_number": "361-994-7645",
            "fax_number": "361-994-7646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 SARATOGA BLVD",
            "address_2": "SUITE 230",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784132836",
            "telephone_number": "361-994-7645",
            "fax_number": "361-994-7646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "BENJAMIN",
        "middle_name": "CLAY",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "20880",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • 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.