Young-Won Williams, D.M.D

Primary specialty

DentistTaxonomy code 122300000X

License

00203574 Issued in CO

Practice address

9135 Ridgeline Blvd Ste 100
Highlands Ranch, CO 80129-2392

Phone

(720) 239-7366

NPI assigned

Jun 30, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1689057481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292392",
            "telephone_number": "720-239-7366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9135 RIDGELINE BLVD STE 100",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801292392",
            "telephone_number": "720-239-7366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4277 Tennyson St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802122305",
            "country_code": "US",
            "telephone_number": "720-863-7982",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "YOUNG-WON",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CO",
            "license": "DEN.00203574",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CO",
            "license": "00203574",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019.030201",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Williams
• John Henry Williams, PA-C
• Lindsay Hollis Williams, DDS
• Lisa Irene Williams, LPC
• Marissa Williams, LPCC
• Alesha K. Willis, DC
• Mark Willis, M.D.
• Amanda S Wilson, O.D.
• Anne-Marie Wilson, PT
• Cheryl Kaye Wilson, RN

• Dentist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Dentist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.