Individual provider Active NPI

Michele Yvette Williams, DMD

  • Dentist
  • Mansfield, TX
National Provider Identifier
1558574061
Registry record updated Aug 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
21987 Issued in TX
Practice address
1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824
Phone
(682) 400-4777
Fax
(682) 518-2808
NPI assigned
May 8, 2007
Last updated
Aug 27, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 21987 TX Primary

Addresses

Primary practice location

1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824

Mailing address

1560 Highway 287 N Ste 100
Mansfield, TX 76063-8824
Phone (682) 400-4777

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
21987TXMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Williams Dental Wellness PLLC CurrentSince Aug 30, 2020 Accepting new patients

Locations

1560 Highway 287 N
Ste 100
Mansfield, TX 76063
Phone (682) 400-4777

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598486400000",
    "number": "1558574061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "682-400-4777",
            "fax_number": "682-518-2808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 HIGHWAY 287 N STE 100",
            "city": "MANSFIELD",
            "state": "TX",
            "postal_code": "760638824",
            "telephone_number": "682-400-4777",
            "fax_number": "682-518-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MICHELE",
        "middle_name": "YVETTE",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "TX",
            "license": "21987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.