NPIMap

Organization Active NPI

Williams Family Dentistry

  • General Practice Dentistry
  • Pocatello, ID
National Provider Identifier
1669643391
Registry record updated Mar 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
1577 Issued in ID
Legal business name
WILLIAMS FAMILY DENTISTRY
Practice address
1130 Call Creek Dr
Pocatello, ID 83201-3000
Phone
(208) 232-8410
NPI assigned
Mar 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2008

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

Authorized official

Name
Dr. Duane J Williams, DMDNPI 1023194206
Title
Owner/Dentist
Phone
(208) 232-8410

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 1577 ID Primary

Addresses

Primary practice location

1130 Call Creek Dr
Pocatello, ID 83201-3000

Mailing address

1130 Call Creek Dr
Pocatello, ID 83201-3000
Phone (208) 232-8410

National Provider Directory

National Provider Directory

Locations

1130 Call Creek Dr
Pocatello, ID 83201
Phone (208) 232-8410

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1669643391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 CALL CREEK DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013000",
            "telephone_number": "208-232-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 CALL CREEK DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832013000",
            "telephone_number": "208-232-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAMS FAMILY DENTISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-20",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/DENTIST",
        "authorized_official_telephone_number": "208-232-8410",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "ID",
            "license": "1577",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocatello, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.