Active NPI
Kandace Marie Williamson, DDS
- Dentist
- Arlington Heights, IL
National Provider Identifier
1508562976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 019.036190
- Practice address
- 1307 East Rand Road
Arlington Heights, IL 60004 - Phone
- (224) 452-6041
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 019.036190 | IL | Primary |
Addresses
Primary practice location
1307 East Rand Road
Arlington Heights, IL 60004
Mailing address
1307 East Rand Road
Arlington Heights, IL 60004
Phone (224) 452-6041
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
| License | State | Type | Specialty |
|---|---|---|---|
| 019.036190 | IL | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752710400000",
"number": "1508562976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1307 EAST RAND ROAD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "224-452-6041"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1307 EAST RAND ROAD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "60004",
"telephone_number": "224-452-6041"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMSON",
"first_name": "KANDACE",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2025-07-17",
"certification_date": "2025-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "IL",
"license": "019.036190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Arlington Heights, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.