Individual provider Active NPI

Nitalya B Williams, DDS

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Tucson, AZ
National Provider Identifier
1558647305
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
109582 Issued in CA
Practice address
801 N Wilmot Rd Ste F2
Tucson, AZ 85711-1700
Phone
(520) 745-5051
NPI assigned
Oct 25, 2011
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X 109582 CA Primary

Addresses

Primary practice location

801 N Wilmot Rd Ste F2
Tucson, AZ 85711-1700

Mailing address

311 Via San Sebastian
Redondo Beach, CA 90277-6659
Phone (818) 261-1345

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
109582CAMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Get It Straight Orthodontics, PC Orthodontics and Dentofacial Orthopedics CurrentSince Nov 10, 2024 Accepting new patients
Bob Crum Orthodontics, PC Orthodontics and Dentofacial Orthopedics PastSince Nov 10, 2024 Accepting new patients

Locations

801 N Wilmot Rd
Ste F2
Tucson, AZ 85711
Phone (520) 745-5051

Organizations & group practices 2

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1558647305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 VIA SAN SEBASTIAN",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902776659",
            "telephone_number": "818-261-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N WILMOT RD STE F2",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857111700",
            "telephone_number": "520-745-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "NITALYA",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "CA",
            "license": "109582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.