Active NPI
Andrea Lenette Williams, D.D.S.
- Dentist
- Pearland, TX
National Provider Identifier
1609989342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 24150
- Practice address
- 2708 Pearland Pkwy
Ste: 200
Pearland, TX 77581-5351 - Phone
- (281) 997-1943
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | LNO 5490 | AL | |
| Dentist | 122300000X | 5490 | AL | |
| Dentist | 122300000X | 24150 | TX | Primary |
Addresses
Primary practice location
2708 Pearland Pkwy
Ste: 200
Pearland, TX 77581-5351
Mailing address
2708 Pearland Pkwy
Ste: 200
Pearland, TX 77581-5351
Phone (281) 997-1943
Other names 1
- Dr. Andrea Lenette White
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170404001432 | TX | Order and Referring Only - Dentist | 4385647924 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LNO 5490 | AL | MD | Dentist |
| 24150 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1456790400000",
"number": "1609989342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2708 PEARLAND PKWY",
"address_2": "STE: 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815351",
"telephone_number": "281-997-1943"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2708 PEARLAND PKWY",
"address_2": "STE: 200",
"city": "PEARLAND",
"state": "TX",
"postal_code": "775815351",
"telephone_number": "281-997-1943"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "ANDREA",
"middle_name": "LENETTE",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2016-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "LNO 5490",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "AL",
"license": "5490",
"primary": false
},
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "TX",
"license": "24150",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "WHITE",
"middle_name": "LENETTE",
"prefix": "DR.",
"credential": "D.D.S.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pearland, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2016; 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.