Makenna Helene Williams, DMD

Primary specialty

DentistTaxonomy code 122300000X

License

10257 Issued in KY

Practice address

3946 Taylorsville Rd
Louisville, KY 40220-1450

Phone

(502) 276-8950

NPI assigned

Jun 11, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: makenna.williams.p7@direct.healthcareconnection.nextgenshare.com

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.

• The Healthcare Connection, Inc

  dba Lincoln Heights Health Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1053337675
  Medicare reassignment NPD
• The Healthcare Connection, Inc

  dba Mt. Healthy Family Practice Center

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1154347789
  NPD
• The Healthcare Connection, Inc.

  • Federally Qualified Health Center (FQHC)
  • Cincinnati, OH
  • NPI 1578244687
  NPD

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

{
    "created_epoch": "1560211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1568021657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 MELLWOOD AVE APT 1318",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402061075",
            "telephone_number": "410-703-7408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3946 TAYLORSVILLE RD",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201450",
            "telephone_number": "502-276-8950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Mellwood Ave Apt 1318",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402061075",
            "country_code": "US",
            "telephone_number": "410-703-7408 x41070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MAKENNA",
        "middle_name": "HELENE",
        "name_prefix": "Ms.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-11",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "KY",
            "license": "10257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Williams
• Lisa M Williams, ARNP
• Lori M Williams, APRN
• Louis Williams, DDS
• Luke Anthony Williams
• Marisa Williams
• Mark A. Williams, M.D.
• Marvin Williams
• Mary Williams
• Matthew Williams

• Dentist in Louisville, KY
• Providers in Louisville, KY by specialty
• Dentist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.