Active NPI
Brandon Lee Williams, DMD
- Dentist
- Lafayette, CO
National Provider Identifier
1609397389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- DEN.00204293
- Practice address
- 1735 S Public Rd
Lafayette, CO 80026-7093 - Phone
- (303) 650-4460
- NPI assigned
- Jul 3, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DEN.00204293 | CO | Primary |
| General Practice Dentistry | 1223G0001X | 33090 | TX |
Addresses
Primary practice location
1735 S Public Rd
Lafayette, CO 80026-7093
Mailing address
203 S Rollie Ave
Fort Lupton, CO 80621-1508
Phone (303) 892-6401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33090 | Other | TX | TEXAS STATE BOARD OF DENTAL EXAMINERS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DEN.00204293 | CO | MD | Dentist |
| 33090 | TX | MD | General Practice Dentistry |
Interoperability endpoints
- brandon.williams.p4@direct.clinicafamilyhealth.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1609397389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 S ROLLIE AVE",
"city": "FORT LUPTON",
"state": "CO",
"postal_code": "806211508",
"telephone_number": "303-892-6401",
"fax_number": "303-286-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1735 S PUBLIC RD",
"city": "LAFAYETTE",
"state": "CO",
"postal_code": "800267093",
"telephone_number": "303-650-4460"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "BRANDON",
"middle_name": "LEE",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-03",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CO",
"license": "DEN.00204293",
"primary": true
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "TX",
"license": "33090",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS STATE BOARD OF DENTAL EXAMINERS",
"identifier": "33090",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.