NPIMap

Organization Active NPI

Tanya G Williams

  • General Practice Dentistry
  • Salisbury, NC
National Provider Identifier
1609209840
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
8296 Issued in NC
Legal business name
TANYA G WILLIAMS
Practice address
125 W Kerr St
Salisbury, NC 28144-4328
Phone
(704) 636-1533
NPI assigned
Aug 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Authorized official

Name
Dr. Tanya Gay Williams, DMDNPI 1346578689
Title
Owner
Phone
(704) 636-1533

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193200000X MULTI-SPECIALTY GROUP 1223G0001X 8296 NC Primary

Addresses

Primary practice location

125 W Kerr St
Salisbury, NC 28144-4328

Mailing address

125 W Kerr St
Salisbury, NC 28144-4328
Phone (704) 636-1533

Other practice location 1

644 Statesville Blvd Ste 4
Salisbury, NC 28144-2281
Phone (704) 636-1533

Other identifiers 1

IdentifierTypeStateIssuer
5920289MedicaidNC

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1376265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546473600000",
    "number": "1609209840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W KERR ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444328",
            "telephone_number": "704-636-1533",
            "fax_number": "704-636-5514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W KERR ST",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281444328",
            "telephone_number": "704-636-1533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "644 Statesville Blvd Ste 4",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "NC",
            "postal_code": "281442281",
            "country_code": "US",
            "telephone_number": "704-636-1533",
            "fax_number": "704-636-5514",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TANYA G WILLIAMS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-12",
        "last_updated": "2019-01-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "GAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-636-1533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "8296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5920289",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.