Active NPI
Don C Williams, D.M.D.
- Dentist
- Tallulah, LA
National Provider Identifier
1609198308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 4249
- Practice address
- 804 N Beech St
Tallulah, LA 71282-3809 - Phone
- (318) 574-5314
- Fax
- (318) 574-5876
- NPI assigned
- Feb 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 4249 | LA | Primary |
Addresses
Primary practice location
804 N Beech St
Tallulah, LA 71282-3809
Mailing address
804 N Beech St
Tallulah, LA 71282-3809
Phone (318) 574-5314
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1842494 | Medicaid | LA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4249 | LA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271894400000",
"number": "1609198308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "804 N BEECH ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712823809",
"telephone_number": "318-574-5314",
"fax_number": "318-574-5876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "804 N BEECH ST",
"city": "TALLULAH",
"state": "LA",
"postal_code": "712823809",
"telephone_number": "318-574-5314",
"fax_number": "318-574-5876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "DON",
"middle_name": "C",
"credential": "D.M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-22",
"last_updated": "2010-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "LA",
"license": "4249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1842494",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tallulah, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.