Active NPI
Christine L. Williams, DENTAL HYGIENIST
- Dental Hygienist
- Detroit, MI
National Provider Identifier
1619009933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 2902011188
- Practice address
- Detroit Health Dept. - Herman Kiefer Health Complex
1151 Taylor Street, Adult Dental Clinic , Wing 1C
Detroit, MI 48202-1732 - Phone
- (313) 876-4164
- Fax
- (313) 876-0177
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 2902011188 | MI | Primary |
Addresses
Primary practice location
Detroit Health Dept. - Herman Kiefer Health Complex
1151 Taylor Street, Adult Dental Clinic , Wing 1C
Detroit, MI 48202-1732
Mailing address
4890 Marseilles St
Detroit, MI 48224-1451
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 |
|---|---|---|---|
| 2902011188 | MI | MD | Dental Hygienist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| City of Detroit | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinical Medical Laboratory
- Detroit, MI
- NPI 1386769164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1619009933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4890 MARSEILLES ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482241451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "DETROIT HEALTH DEPT. - HERMAN KIEFER HEALTH COMPLEX",
"address_2": "1151 TAYLOR STREET, ADULT DENTAL CLINIC , WING 1C",
"city": "DETROIT",
"state": "MI",
"postal_code": "482021732",
"telephone_number": "313-876-4164",
"fax_number": "313-876-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "CHRISTINE",
"middle_name": "L.",
"credential": "DENTAL HYGIENIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "MI",
"license": "2902011188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.