Active NPI
Ebony Williams, RDH BS
- Dental Hygienist
- Columbus, OH
National Provider Identifier
1649631979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 31.011312
- Practice address
- 16 W Long St
Columbus, OH 43215-2815 - Phone
- (614) 225-0990
- NPI assigned
- Mar 15, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 31.011312 | OH | Primary |
Addresses
Primary practice location
16 W Long St
Columbus, OH 43215-2815
Mailing address
931 Ellington Cir
Gahanna, OH 43230-2291
Phone (614) 806-3170
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31.011312 | OH | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458000000000",
"number": "1649631979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 ELLINGTON CIR",
"city": "GAHANNA",
"state": "OH",
"postal_code": "432302291",
"telephone_number": "614-806-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 W LONG ST",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432152815",
"telephone_number": "614-225-0990"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "EBONY",
"credential": "RDH BS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-15",
"last_updated": "2016-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "OH",
"license": "31.011312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.