Organization Active NPI

Williams Orthodontics LLC

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • El Dorado, AR
National Provider Identifier
1659708733
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X
License
131 Issued in AR
Legal business name
WILLIAMS ORTHODONTICS LLC
Practice address
408 W Oak St
El Dorado, AR 71730-4567
Phone
(870) 639-1737
NPI assigned
Oct 3, 2013
Last updated
Oct 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

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

Authorized official

Name
Dr. Kevin Williams
Title
Principle
Phone
(870) 639-1737

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthodontics and Dentofacial Orthopedics DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223X0400X 131 AR Primary

Addresses

Primary practice location

408 W Oak St
El Dorado, AR 71730-4567

Mailing address

408 W Oak St
El Dorado, AR 71730-4567
Phone (870) 639-1737

Other identifiers 2

IdentifierTypeStateIssuer
194513608MedicaidAR
194514631MedicaidAR

National Provider Directory

National Provider Directory
Tax ID family
Williams Orthodontics LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

408 W Oak St
El Dorado, AR 71730
Phone (870) 639-1737

NPI Registry JSON

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

{
    "created_epoch": "1380758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380758400000",
    "number": "1659708733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304567",
            "telephone_number": "870-639-1737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W OAK ST",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717304567",
            "telephone_number": "870-639-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS ORTHODONTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-03",
        "last_updated": "2013-10-03",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRINCIPLE",
        "authorized_official_telephone_number": "870-639-1737",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "AR",
            "license": "131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194513608",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194514631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.