Freeman S. Williams, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

15047 Issued in MO

Practice address

3100 E Jackson Blvd
Jackson, MO 63755-2957

Phone

(573) 243-5200

NPI assigned

Feb 15, 2007

Sex

Male

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 MO

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

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.

• F Stan Williams DDS LLC

  • General Practice Dentistry
  • Cape Girardeau, MO
  • NPI 1952766487
  NPD Authorized official
• Jackson Dental

  • Dentist
  • Jackson, MO
  • NPI 1992136923
  NPD (past)
• Jackson Dental, LLC

  • General Practice Dentistry
  • Jackson, MO
  • NPI 1932260338
  NPD (past)

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568505634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552957",
            "telephone_number": "573-243-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E JACKSON BLVD",
            "city": "JACKSON",
            "state": "MO",
            "postal_code": "637552957",
            "telephone_number": "573-243-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "FREEMAN",
        "middle_name": "S.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MO",
            "license": "15047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Michelle Weber, PHARMD
• Crystal Ann Wekenborg, FNP
• Krista Leigh-Anne Weseli, DPT
• Lara N White, MA, BCBA
• Joan Elizabeth Whitledge, CFM
• Wills Chiropractic Center, PC
• Haley Marie Wills, LMSW
• Mandi Wood, D.C.
• Jon D Wooldridge, RN
• Rachel Lynne Wright, M.A.,CCC-SLP

• General Practice Dentistry in Jackson, MO
• Providers in Jackson, MO by specialty
• General Practice Dentistry in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.