Individual provider Active NPI

John F Williamson, D.D.S

  • General Practice Dentistry
  • Overland Park, KS
National Provider Identifier
1528022613
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
014868 Issued in MO
Practice address
4601 W 109TH St
Overland Park, KS 66211-1318
Phone
(913) 708-1988
NPI assigned
Apr 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 6498 KS
General Practice Dentistry 1223G0001X 014868 MO Primary

Addresses

Primary practice location

4601 W 109TH St
Overland Park, KS 66211-1318

Mailing address

10601 Kaw Dr
Edwardsville, KS 66111-1170
Phone (913) 441-3373

Other practice location 1

10601 Kaw Dr
Edwardsville, KS 66111-1170
Phone (913) 441-3373

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
6498KSMDGeneral Practice Dentistry
014868MOMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Kaw Valley Family Dental LLC PastSince Jun 22, 2021 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1528022613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10601 KAW DR",
            "city": "EDWARDSVILLE",
            "state": "KS",
            "postal_code": "661111170",
            "telephone_number": "913-441-3373",
            "fax_number": "913-422-4161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 W 109TH ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111318",
            "telephone_number": "913-708-1988"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10601 Kaw Dr",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "KS",
            "postal_code": "661111170",
            "country_code": "US",
            "telephone_number": "913-441-3373",
            "fax_number": "913-422-4161",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "D.D.S",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-14",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "KS",
            "license": "6498",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "014868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.

Verify at the official NPI Registry.