Individual provider Active NPI

Todd Andrew Williams, D.D.S.

  • Oral and Maxillofacial Surgery (Dentist)
  • Dallas, TX
National Provider Identifier
1598919185
Registry record updated Oct 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
License
22613 Issued in TX
Practice address
8335 Walnut Hill LN
Suite # 225
Dallas, TX 75231-4216
Phone
(214) 797-2001
Fax
(214) 691-1854
NPI assigned
Nov 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 23, 2015

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 22613 TX
Oral and Maxillofacial Surgery (Dentist) 1223S0112X 22613 TX Primary

Addresses

Primary practice location

8335 Walnut Hill LN
Suite # 225
Dallas, TX 75231-4216

Mailing address

8335 Walnut Hill LN Ste 225
Dallas, TX 75231-4287
Phone (214) 797-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150102001463 TX Order and Referring Only - Maxillofacial SurgeryPractitioner - Maxillofacial Surgery 3173846813

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
22613TXMDOral and Maxillofacial Surgery (Dentist)

NPI Registry JSON

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

{
    "created_epoch": "1226188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1598919185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN STE 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314287",
            "telephone_number": "214-797-2001",
            "fax_number": "214-691-1854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8335 WALNUT HILL LN",
            "address_2": "SUITE # 225",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314216",
            "telephone_number": "214-797-2001",
            "fax_number": "214-691-1854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TODD",
        "middle_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-11-09",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "TX",
            "license": "22613",
            "primary": false
        },
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "TX",
            "license": "22613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.