Mitchell Jared Williams, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DEN-9483 Issued in CO

Practice address

9085 E Mineral Cir Ste 220
Centennial, CO 80112-3400

Phone

(303) 798-1068

Fax

(303) 798-1538

NPI assigned

Jul 9, 2007

Last updated

Aug 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mitchell Williams DDS, PLLC

  dba Colorado Wellness Dentistry

  • General Practice Dentistry
  • Centennial, CO
  • NPI 1386118040
  NPD Authorized official
• South Denver Dental Group LLP

  • General Practice Dentistry
  • Denver, CO
  • NPI 1174844955
  NPD (past) Authorized official
• New Day Dentistry PLLC

  dba New Day Dentistry Denver

  • General Practice Dentistry
  • Denver, CO
  • NPI 1184105066
  NPD (past)

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

{
    "created_epoch": "1183939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1639377955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7129 E PEAKIVEW PLACE",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801114621",
            "telephone_number": "303-221-0059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9085 E MINERAL CIR STE 220",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801123400",
            "telephone_number": "303-798-1068",
            "fax_number": "303-798-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "MITCHELL",
        "middle_name": "JARED",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-09",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "MN",
            "license": "D12459",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN-9483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Williams Bair
• Andrew Jonathan Williams, MD
• Daysha Jane Williams, RMT
• Jan Harting Williams, PT, DPT, NCS
• Marjorie C Williams
• Monica Williams, OTD, OTR/L
• Robin Williams
• Sherree Williams
• Tamaigo Bonita Evelyn Williams
• Taylor R Williams, M.A., BCBA

• General Practice Dentistry in Centennial, CO
• Providers in Centennial, CO by specialty
• General Practice Dentistry in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.

Verify at the official NPI Registry.